Healthcare Provider Details

I. General information

NPI: 1043124910
Provider Name (Legal Business Name): PAUL H CHU MD, A PROFESSIONAL MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 N HILL ST
LOS ANGELES CA
90012-1714
US

IV. Provider business mailing address

945 N HILL ST
LOS ANGELES CA
90012-1714
US

V. Phone/Fax

Practice location:
  • Phone: 213-617-0777
  • Fax:
Mailing address:
  • Phone: 213-617-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. PAUL H CHU
Title or Position: CEO
Credential: MD
Phone: 213-617-0777