| 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 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 04/26/2018 |
| Medicare PECOS PAC ID | 4183710452 |
|---|---|
| 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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