MEDICARE: STEPHANIE YU-HUE CHIU M.D.

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	2085R0202X	Diagnostic Radiology Physician	A68017	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
2	00A680170	OTHER		BCBS

General Provider Information

NPI Number	:	1275560096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE YU-HUE CHIU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7328
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92863-7328
Country	:	US
Telephone Number	:	714-571-5000
Fax Number	:	714-571-5055

Provider Business Practice Location Address
First Line	:	10767 RIVERSIDE DR
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2324
Country	:	US
Telephone Number	:	818-301-6700
Fax Number	:	818-301-6701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	01/30/2017

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