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Organization
PETER HOR-TAO CHIU
Active
Organization
PETER HOR-TAO CHIU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H CHIU (DOCTOR OF INTERNAL MEDICINE)
(626) 299-7100
Entity
Organization
Contact information
Practice address
416 W LAS TUNAS DR, SUITE 303, SAN GABRIEL, CA 91776-1236
(626) 299-7100
(626) 299-7103
Mailing address
416 W LAS TUNAS DR, SUITE 303, SAN GABRIEL, CA 91776-1236
(626) 299-7100
(626) 299-7103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G76879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076890
BLUE SHIELD
CA
05
—
00G768790
—
CA
01
—
7914016
AETNA
CA
01
—
G076879
STATE LICENSE
CA
Enumeration date
09/02/2011
Last updated
03/07/2023
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