Provider Demographics
NPI:1205092012
Name:CHAU, CHRISTINA (RDA)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:CHAU
Suffix:
Gender:F
Credentials:RDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 S YNEZ AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3814
Mailing Address - Country:US
Mailing Address - Phone:626-281-0622
Mailing Address - Fax:
Practice Address - Street 1:716 S YNEZ AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3814
Practice Address - Country:US
Practice Address - Phone:626-281-0622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25764247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other