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Organization

NEW FOUNDATION MEDICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WEIMING DAVID CHU MD (CEO)
(917) 880-2696
Entity
Organization

Contact information

Practice address
520 N MAIN ST STE 120, SANTA ANA, CA 92701-4623
(714) 352-5800
(714) 352-5801
Mailing address
520 N MAIN ST STE 120, SANTA ANA, CA 92701-4623
(714) 352-5800
(949) 390-6519

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
152W00000X
Optometrist
207Q00000X
Family Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208000000X
Pediatrics Physician
CA
2084P0800X
Psychiatry Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2892941
CA
Enumeration date
06/10/2016
Last updated
10/16/2023
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