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NPI Code Detail

MEDICARE: ELAINE YEELING CHU MD

MEDICARE:   ELAINE YEELING CHU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA47836CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194892919
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE YEELING CHU MD
Provider Business Mailing Address
First Line : 466 FOOTHILL BLVD # 181
Second Line :
City : LA CANADA
State : CA
Zip : 91011-3518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3527 OCEAN VIEW BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1211
Country : US
Telephone Number : 818-279-8199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 12/31/2009

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Directions to “ ELAINE YEELING CHU MD” Practice Location

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