Healthcare Provider Details

I. General information

NPI: 1336581222
Provider Name (Legal Business Name): YING-JUNG CHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 GILMAN AVE STE 26
CAMPBELL CA
95008-3000
US

IV. Provider business mailing address

80 GILMAN AVE STE 26
CAMPBELL CA
95008-3000
US

V. Phone/Fax

Practice location:
  • Phone: 408-766-4361
  • Fax:
Mailing address:
  • Phone: 408-766-4361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT125207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: