Chae, Clara
Chae, Clara is an individual health care provider with primary practice located at 4646 Brockton Ave Ste 201 , Riverside CA 92506-0104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Chae, Clara can be contacted via phone (951) 585-1800.Contact Information
Primary practice address
4646 Brockton Ave Ste 201
Riverside CA 92506-0104
Phone: (951) 585-1800
Fax: (951) 585-1801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35095607 | Ohio |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 128817 | California |
Profile Details
NPI number | 1861697427 |
---|---|
LBN Legal business name | Chae, Clara |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2007 |
Last updated | Feb 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861697427 | NPPES |
Ohio | Other | 4304441 | MEDICARE ID |
Ohio | Other | 1639274319 | MEDICARE ID |
Ohio | Other | ZZZ31887Z | MEDICARE ID |
Ohio | MEDICAID | 3103368 | MEDICARE ID |
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