Healthcare Provider Details

I. General information

NPI: 1174589642
Provider Name (Legal Business Name): DANIEL F. CHUEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
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 NumberA48624
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA48624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: