Provider Demographics
NPI:1134292923
Name:CHAO, BILL CHUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:CHUNG
Last Name:CHAO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9955 LOWER AZUSA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-4060
Mailing Address - Country:US
Mailing Address - Phone:626-688-9999
Mailing Address - Fax:626-701-5887
Practice Address - Street 1:9955 LOWER AZUSA RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-4060
Practice Address - Country:US
Practice Address - Phone:626-688-9999
Practice Address - Fax:626-701-5887
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28043111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU95527Medicare ID - Type Unspecified