Individual
JOEL CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2685
MN
207P00000X
Emergency Medicine Physician
320293
NY
207P00000X
Emergency Medicine Physician
G82224
CA
207P00000X
Emergency Medicine Physician
Primary
MD61137334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G822240
BLUE SHIELD
CA
05
—
00G822240
—
CA
Enumeration date
11/04/2005
Last updated
01/30/2023
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