Provider Demographics
NPI:1861078404
Name:CHAI, NATHAN
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:CHAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8929 UNIVERSITY CENTER LN STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1007
Mailing Address - Country:US
Mailing Address - Phone:858-657-1200
Mailing Address - Fax:586-571-2008
Practice Address - Street 1:8929 UNIVERSITY CENTER LN STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1007
Practice Address - Country:US
Practice Address - Phone:858-657-1200
Practice Address - Fax:858-657-1200
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program