Organization Name: | R P CHAO RADIOLOGY MEDICAL GROUP INC |
NPI Number: | 1023402021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD P CHAO (PRESIDENT/OWNER) |
Mailing Address: | 707 S Garfield Ave Suite B-001 Alhambra |
State: | CA US |
Postal Code: | 918015859 |
Phone Number: | 6262272727 |
Fax Number: | 6262272757 |
NPI Enumeration Date: | 03/27/2015 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | C2578418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |