Provider Demographics
NPI:1780869248
Name:CHAO, JING WEN (CPNP, MSN)
Entity type:Individual
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First Name:JING WEN
Middle Name:
Last Name:CHAO
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Gender:F
Credentials:CPNP, MSN
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Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4801
Mailing Address - Country:US
Mailing Address - Phone:310-539-2445
Mailing Address - Fax:310-626-6431
Practice Address - Street 1:3440 LOMITA BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4801
Practice Address - Country:US
Practice Address - Phone:310-539-2445
Practice Address - Fax:310-626-6431
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2023-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA424200363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics