Thao, Cha Choukao
Thao, Cha Choukao is an individual health care provider with primary practice located at 2401 W Turner Rd Ste 450 , Lodi CA 95242-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thao, Cha Choukao can be contacted via phone (209) 370-1700.Contact Information
Primary practice address
2401 W Turner Rd Ste 450
Lodi CA 95242-2191
Phone: (209) 370-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A6749 | California |
Profile Details
| NPI number | 1245230069 |
|---|---|
| LBN Legal business name | Thao, Cha Choukao |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1245230069 | NPPES |
| California | MEDICAID | 00AX67490 |
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