Individual
BRANDON CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP-AC
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
18053 S 3RD ST, FOUNTAIN VALLEY, CA 92708-4422
(714) 267-5199
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95029530
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95027825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95027825
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
10/26/2023
Last updated
10/26/2023
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