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Organization
WILLIAM C. CHU, MD, INCORPORATED
Active
Organization
WILLIAM C. CHU, MD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C. CHU MD (PRESIDENT)
(626) 335-0231
Entity
Organization
Contact information
Practice address
150 W ROUTE 66, RADIOLOGY DEPARTMENT, GLENDORA, CA 91740-6207
(626) 335-0231
(626) 821-0406
Mailing address
PO BOX 18989, ANAHEIM, CA 92817-8989
(626) 821-1411
(626) 821-0406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A388582
BLUE SHIELD
CA
05
—
00A388582
—
CA
Enumeration date
10/17/2006
Last updated
11/28/2007
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