Jae S Chu M.D.

NPI 1063400745 - Internal Medicine - 207R00000X

NPI Details
NPI 1063400745
Gender Male
Enumeration Date 10/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
12610 S WESTERN AVE
LOS ANGELES CA, 90047-5252, US
Phone (323) 757-1853
Fax (323) 757-1281
Business Location
12610 S WESTERN AVE
LOS ANGELES CA, 90047-5252, US
Phone (323) 757-1853
Fax (323) 757-1281
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A46356
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According to our database, Dr. Jae S Chu M.D. NPI is 1063400745, taxonomy code is 207R00000X and license number is A46356, license state is located at California. Jae S Chu M.D. physically located at 12610 S Western Ave, Los Angeles CA, 90047-5252. NPI Number Jae S Chu M.D. has the Individual type.

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1063400745 NPI number is provided on an as is basis without warranty of any kind. 1063400745 is maintained by the National Plan & Provider Enumeration System. The contents of Jae S Chu M.D. are for informational purposes only.