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Individual

DR. CONNIE GING TING CHIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2200 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2302
(310) 449-5268
Mailing address
2216 6TH ST, UNIT A, SANTA MONICA, CA 90405-2446
(310) 980-0690

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A117934
CA
2086X0206X
Surgical Oncology Physician
Primary
A117934
CA

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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