Chu, Cecilia

Chu, Cecilia is an individual health care provider with primary practice located at 3771 Katella Ave #205, Los Alamitos CA 90720-3108. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Chu, Cecilia can be contacted via phone (562) 594-7555.

Contact Information

Primary practice address
3771 Katella Ave #205 Los Alamitos CA 90720-3108
Fax: (562) 594-7553
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G79572 California

Profile Details

NPI number 1396713814
LBN Legal business name Chu, Cecilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 23rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396713814 NPPES
California Other 743081093 TAX ID
California MEDICAID 00G795720 TAX ID

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