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Individual

DR. CECILIA CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3771 KATELLA AVE, #205, LOS ALAMITOS, CA 90720-3108
(562) 594-7555
(562) 594-7553
Mailing address
3771 KATELLA AVE, SUITE 205, LOS ALAMITOS, CA 90720-3108
(562) 594-7555
(562) 594-7553

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G79572
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G795720
CA
01
743081093
TAX ID
CA
Enumeration date
03/10/2006
Last updated
09/23/2010
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