Healthcare Provider Details
I. General information
NPI: 1740487446
Provider Name (Legal Business Name): DENNY T. CHIU DOCTOR OF CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2007
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5553 ROSEMEAD BLVD
TEMPLE CITY CA
91780-1802
US
IV. Provider business mailing address
5553 ROSEMEAD BLVD
TEMPLE CITY CA
91780-1802
US
V. Phone/Fax
- Phone: 626-286-0800
- Fax: 626-286-5811
- Phone: 626-286-0800
- Fax: 626-286-5811
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC 29913 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC11228 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
DENNY
TYH-CHING
CHIU
Title or Position: OWNER
Credential: D.C, L.AC
Phone: 626-286-5800