Chau Ton-that,d.o.,inc. | |
9533 Bolsa Ave Westminster CA 92683-5904 | |
(714) 531-8720 | |
(714) 531-5794 |
Full Name | Chau Ton-that,d.o.,inc. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 9533 Bolsa Ave, Westminster, California |
Authorized Official Name and Position | Chau Ton-that (DR.) |
Authorized Official Contact | 9496993445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chau Ton-that,d.o.,inc. 4131 Costero Risco San Clemente CA 92673-6408 Ph: (949) 584-4034 | Chau Ton-that,d.o.,inc. 9533 Bolsa Ave Westminster CA 92683-5904 Ph: (714) 531-8720 |
NPI Number | 1962525006 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 04/26/2018 |
Medicare PECOS PAC ID | 4183710452 |
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Medicare Enrollment ID | O20071017000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962525006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 20A7177 (California) | Primary |
Provider Name | Chau Ton-that |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205902301 PECOS PAC ID: 3072598085 Enrollment ID: I20040623000658 |
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