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NPI Code Detail

MEDICARE: MR. DANIEL WEI-KONG CHU LCSW

MEDICARE:  MR. DANIEL WEI-KONG CHU  LCSW
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
1101YM0800XMental Health CounselorASW18769CA

General Provider Information

NPI Number : 1881722650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL WEI-KONG CHU LCSW
Provider Business Mailing Address
First Line : 457 N SIERRA BONITA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-2407
Country : US
Telephone Number : 818-952-6648
Fax Number :
Provider Business Practice Location Address
First Line : 457 N SIERRA BONITA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-2407
Country : US
Telephone Number : 818-952-6648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 05/22/2014

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Directions to “ MR. DANIEL WEI-KONG CHU LCSW” Practice Location

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