Healthcare Provider Details

I. General information

NPI: 1588832349
Provider Name (Legal Business Name): GEORGE J. CHU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST STE 102
HONOLULU HI
96813-2401
US

IV. Provider business mailing address

1329 LUSITANA ST STE 102
HONOLULU HI
96813-2401
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-1311
  • Fax: 808-536-2224
Mailing address:
  • Phone: 808-532-1311
  • Fax: 808-536-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number3268
License Number StateHI

VIII. Authorized Official

Name: DR. GEORGE J CHU
Title or Position: PROPRIETOR
Credential: MD
Phone: 808-532-1311