MEDICARE: JULIAN CO CHUA, M.D., P.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
1	207L00000X	Anesthesiology Physician	C50217	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1083727572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIAN CO CHUA, M.D., P.C.

Provider Business Mailing Address
First Line	:	1951 LOS PADRES DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3658
Country	:	US
Telephone Number	:	310-529-9237
Fax Number	:	626-331-3204

Provider Business Practice Location Address
First Line	:	1951 LOS PADRES DR
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-3658
Country	:	US
Telephone Number	:	310-529-9237
Fax Number	:	626-331-3204

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JULIAN CO CHUA
Credential	:	M.D.
Telephone Number	:	626-824-2356

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	01/05/2017

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