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Individual

JOHNSON CHIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
(714) 639-4105
Mailing address
1310 W STEWART DR, SUITE 410, ORANGE, CA 92868-3854
(714) 639-9401
(714) 639-4105

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87164
CA
208M00000X
Hospitalist Physician
Primary
A87164
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A871640
CA
01
1912919804
NPI - TYPE 2
01
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
GR0003350
MEDICAID - GROUP PROVIDER
CA
01
P00734040
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
11/13/2006
Last updated
10/21/2020
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