Provider Demographics
NPI:1851007488
Name:CHAO, CHRISTOPHER DO (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DO
Last Name:CHAO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12830 HESPERIA RD
Mailing Address - Street 2:SUITE C, D, & E
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-7788
Mailing Address - Country:US
Mailing Address - Phone:760-684-8999
Mailing Address - Fax:
Practice Address - Street 1:12830 HESPERIA RD STE CD&E
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-7788
Practice Address - Country:US
Practice Address - Phone:760-684-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant