Organization
WILLY CHUA MD PA
Active
Other names
WILLY CHUA MDPA
Organization subpart
No
Provider details
NPI number
Authorized official
WILLY N CHUA MD (PRESIDENT)
(786) 229-1336
Entity
Organization
Contact information
Practice address
89 PAINTED TRELLIS, IRVINE, CA 92620-2306
(786) 229-1336
Mailing address
89 PAINTED TRELLIS, IRVINE, CA 92620-2306
(786) 229-1336
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0054079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260460400
—
FL
01
—
CB324434
CALIFORNIA MEDICARE (NORIDIAN)
CA
Enumeration date
03/29/2006
Last updated
10/16/2019
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