Healthcare Provider Details

I. General information

NPI: 1619654647
Provider Name (Legal Business Name): EUNICE LEE CHU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EUNICE HEE LEE

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11806 WHITTIER BLVD STE E
WHITTIER CA
90601-4622
US

IV. Provider business mailing address

42 HILLCREST MDWS
ROLLING HILLS ESTATES CA
90274-4884
US

V. Phone/Fax

Practice location:
  • Phone: 562-513-1146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: