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NPI Code Detail

MEDICARE: ASHLIE CHU

MEDICARE: ASHLIE 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
11041C0700XClinical Social Worker94340CA

General Provider Information

NPI Number : 1326674169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLIE CHU
Provider Business Mailing Address
First Line : 2049 HEATHER DR
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91755-6719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 HELLMAN AVE
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2216
Country : US
Telephone Number : 626-758-7452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2020
Last Update Date : 03/01/2022

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Directions to “ ASHLIE CHU ” Practice Location

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