CHAD VIRIYA ITH

SANTA CLARA, CA
NPI1932170578
Other NameSOCHEAT ITH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA18527)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CT  001611)
Enumeration Date2006-01-31
Last Update Date2022-01-11
Business Address
MR. CHAD VIRIYA ITH PAC
710 LAWRENCE EXPY DEPT 148
SANTA CLARA, CA 95051-5173
Phone number: 408-851-1850
Mailing Address
MR. CHAD VIRIYA ITH PAC
710 LAWRENCE EXPY DEPT 148
SANTA CLARA, CA 95051-5173
Phone number: 408-851-1850