Provider Demographics
NPI:1538347760
Name:CHAC, RICK T (MD)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:T
Last Name:CHAC
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 OLD TELEGRAPH CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6587
Mailing Address - Country:US
Mailing Address - Phone:619-482-2400
Mailing Address - Fax:619-482-2411
Practice Address - Street 1:660 OLD TELEGRAPH CANYON RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-6587
Practice Address - Country:US
Practice Address - Phone:619-482-2400
Practice Address - Fax:619-482-2411
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2016-06-28
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Provider Licenses
StateLicense IDTaxonomies
CAA105379207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology