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NPI Code Detail

MEDICARE: CHRISTINA CHU

MEDICARE:   CHRISTINA  CHU
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
1225X00000XOccupational Therapist23984CA

General Provider Information

NPI Number : 1245959048
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CHU
Provider Business Mailing Address
First Line : 10351 SAMOA AVE
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-1919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11460 W WASHINGTON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-6030
Country : US
Telephone Number : 310-337-7115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2022
Last Update Date : 08/24/2022

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Directions to “ CHRISTINA CHU ” Practice Location

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