MEDICARE: DR. JAMES W CHU MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A63212	CA

General Provider Information

NPI Number	:	1710969266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES W CHU MD

Provider Business Mailing Address
First Line	:	2 UPPER RAGSDALE DR
Second Line	:	SUITE B-200
City	:	MONTEREY
State	:	CA
Zip	:	93940-5736
Country	:	US
Telephone Number	:	831-375-6334
Fax Number	:	831-375-6331

Provider Business Practice Location Address
First Line	:	2 UPPER RAGSDALE DR
Second Line	:	SUITE B-200
City	:	MONTEREY
State	:	CA
Zip	:	93940-5736
Country	:	US
Telephone Number	:	831-375-6334
Fax Number	:	831-375-6331

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	10/17/2008

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