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Individual

EUI SAN CHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 E CHAPMAN AVE STE 300, ORANGE, CA 92869
(714) 771-8000
Mailing address
2501 E CHAPMAN AVE STE 300, ORANGE, CA 92869-3204

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A124833
CA
208M00000X
Hospitalist Physician
Primary
A124833
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912919804
TYPE 2 NPI
CA
01
A124833
MEDICAL LICENSE
CA
Enumeration date
05/05/2011
Last updated
10/21/2020
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