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General NPI Number Information
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NPI Number | 1952420549
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Entity Type | Individual
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Provider Name | WILLIAM CHU
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1722 DESIRE AVE STE 207
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2970
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Country | US
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Telephone | 626-965-2229
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Fax | 626-408-6618
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Provider Business Mailing Address
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Address Line | 20541 AMHURST DR
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City | WALNUT
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State | CA
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Zip | 91789-1233
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Country | US
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Telephone | 626-422-8522
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 22308
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT11906
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT11906
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License Number State | CA
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