Provider Demographics
NPI:1780621755
Name:CHAO, ANDREW YUH (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:YUH
Last Name:CHAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11411 BROOKSHIRE AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5004
Mailing Address - Country:US
Mailing Address - Phone:562-904-4411
Mailing Address - Fax:562-904-5353
Practice Address - Street 1:11411 BROOKSHIRE AVE STE 207
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5004
Practice Address - Country:US
Practice Address - Phone:562-904-4411
Practice Address - Fax:562-904-5353
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2018-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR2A51207Q00000X
CA20A4859207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO241216829Medicaid
MOB18404Medicare UPIN
MO241216829Medicaid