Individual
JOHN T CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 401, NEWPORT BEACH, CA 92660
(949) 644-1422
(949) 644-1424
Mailing address
400 NEWPORT CENTER DR, SUITE 401, NEWPORT BEACH, CA 92660-7601
(949) 644-1422
(949) 644-1424
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G13693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ70106Z
BLUE SHIELD
CA
05
—
ZZZ70106Z
—
CA
Enumeration date
10/23/2006
Last updated
07/02/2018
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