Chae, Clara

Chae, Clara is an individual health care provider with primary practice located at 4646 Brockton Ave Ste 201 , Riverside CA 92506-0104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Chae, Clara can be contacted via phone (951) 585-1800.

Contact Information

Primary practice address
4646 Brockton Ave Ste 201 Riverside CA 92506-0104
Phone: (951) 585-1800
Fax: (951) 585-1801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35095607 Ohio
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 128817 California

Profile Details

NPI number 1861697427
LBN Legal business name Chae, Clara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Feb 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861697427 NPPES
Ohio Other 4304441 MEDICARE ID
Ohio Other 1639274319 MEDICARE ID
Ohio Other ZZZ31887Z MEDICARE ID
Ohio MEDICAID 3103368 MEDICARE ID

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