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NPI Code Detail

MEDICARE: MR. WILLIAM CHU PA-C

MEDICARE: MR. WILLIAM CHU PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA 15296CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043227804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM CHU PA-C
Provider Business Mailing Address
First Line : 3712 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-1733
Country : US
Telephone Number : 323-268-8347
Fax Number : 323-268-8368
Provider Business Practice Location Address
First Line : 3712 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-1733
Country : US
Telephone Number : 323-268-8347
Fax Number : 323-268-8368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 06/27/2008

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