Provider Demographics
NPI:1407097439
Name:CHAO, CHRISTINA SENG (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SENG
Last Name:CHAO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 EUREKA RD
Mailing Address - Street 2:BLDG C
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3027
Mailing Address - Country:US
Mailing Address - Phone:916-474-2250
Mailing Address - Fax:916-474-2291
Practice Address - Street 1:1600 EUREKA RD
Practice Address - Street 2:BLDG C
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-474-2250
Practice Address - Fax:916-474-2291
Is Sole Proprietor?:No
Enumeration Date:2009-03-22
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA119654208000000X
WA60093475208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics