MEDICARE: MILTON W. CHU 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	207W00000X	Ophthalmology Physician	G67161	CA

General Provider Information

NPI Number	:	1417917386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILTON W. CHU M.D.

Provider Business Mailing Address
First Line	:	5800 SANTA ROSA RD
Second Line	:	STE 111
City	:	CAMARILLO
State	:	CA
Zip	:	93012-7056
Country	:	US
Telephone Number	:	805-987-1341
Fax Number	:	805-987-7971

Provider Business Practice Location Address
First Line	:	5800 SANTA ROSA RD
Second Line	:	STE 111
City	:	CAMARILLO
State	:	CA
Zip	:	93012-7056
Country	:	US
Telephone Number	:	805-987-1341
Fax Number	:	805-987-7971

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/06/2008

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