Provider Demographics
NPI:1619194107
Name:CHAU, SARA TRAN HONG (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:TRAN HONG
Last Name:CHAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2218
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-5218
Mailing Address - Country:US
Mailing Address - Phone:657-241-3600
Mailing Address - Fax:657-241-7708
Practice Address - Street 1:660 BAKER ST STE A102
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4407
Practice Address - Country:US
Practice Address - Phone:714-668-2505
Practice Address - Fax:714-668-2515
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA85587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB241585Medicare PIN