Provider Demographics
NPI:1962525006
Name:CHAU TON-THAT,D.O.,INC.
Entity type:Organization
Organization Name:CHAU TON-THAT,D.O.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:TON-THAT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-699-3445
Mailing Address - Street 1:4131 COSTERO RISCO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6408
Mailing Address - Country:US
Mailing Address - Phone:949-584-4034
Mailing Address - Fax:949-218-8173
Practice Address - Street 1:9533 BOLSA AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5904
Practice Address - Country:US
Practice Address - Phone:714-531-8720
Practice Address - Fax:714-531-5794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A71772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW21125Medicare PIN
G40732Medicare UPIN