Healthcare Provider Details

I. General information

NPI: 1811424740
Provider Name (Legal Business Name): DANIEL JOHN CHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2017
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 EL CAJON BLVD STE 100
EL CAJON CA
92020-5760
US

IV. Provider business mailing address

1380 EL CAJON BLVD STE 212
EL CAJON CA
92020-5760
US

V. Phone/Fax

Practice location:
  • Phone: 619-867-0557
  • Fax: 619-867-0558
Mailing address:
  • Phone: 619-867-0557
  • Fax: 619-867-0558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA171905
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA171905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: