Individual
JOSELITA CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12500 EDGEWATER DR, #1402, LAKEWOOD, OH 44107-1677
(216) 227-1199
Mailing address
12500 EDGEWATER DR, #1402, LAKEWOOD, OH 44107-1677
(216) 227-1199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35080538
OH
2084P0800X
Psychiatry Physician
A88164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35080538
LICENSE
OH
01
—
A88164
LICENSE
CA
Enumeration date
01/31/2007
Last updated
03/07/2023
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