Organization
PACIFIC ALLIANCE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C. CHU MEDICAL DOCTOR (RADIOLOGIST)
(626) 821-1411
Entity
Organization
Contact information
Practice address
531 W COLLEGE ST, LOS ANGELES, CA 90012-2315
(213) 683-9336
Mailing address
PO BOX 18989, ANAHEIM, CA 92817-8989
(626) 821-1411
(626) 821-0406
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A38858
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A38858
CA
2085U0001X
Diagnostic Ultrasound Physician
A38858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A388580
BLUE SHIELD
CA
05
—
00A388580
—
CA
Enumeration date
10/25/2005
Last updated
06/13/2008
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