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General NPI Number Information
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NPI Number | 1851251052
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Entity Type | Organization
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Legal Business Name | SURF CITY PODIATRY
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 18800 MAIN ST STE 104
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1717
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Country | US
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Telephone | 714-841-1963
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Fax | 714-841-6919
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Provider Business Mailing Address
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Address Line | 18800 MAIN ST STE 104
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1717
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Country | US
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Telephone | 714-841-1963
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Fax | 714-841-6919
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Authorized Official
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Title or Position | CFO
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Name | DR. ANDREW PHUC CHU
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Credential | DPM
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Telephone | 714-841-1963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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