Healthcare Provider Details

I. General information

NPI: 1043455850
Provider Name (Legal Business Name): ADVANTAGE NEUROPSYCHIATRIC ASSOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2008
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W CHAPMAN AVE
ORANGE CA
92868-2847
US

IV. Provider business mailing address

PO BOX 1601
SUNSET BEACH CA
90742-1601
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-4300
  • Fax: 714-463-3633
Mailing address:
  • Phone: 714-633-4300
  • Fax: 714-463-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA48624
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL F CHUEH
Title or Position: PSYCHIATRIST
Credential: M.D
Phone: 714-633-4300