Individual
MR. ANTHONY CHIU INGALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14816 CENTRAL AVE, CHINO, CA 91710-9509
(909) 444-5797
(909) 590-5203
Mailing address
14816 CENTRAL AVE, CHINO, CA 91710-9509
(909) 444-5797
(909) 590-5203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01969F
—
CA
Enumeration date
03/03/2011
Last updated
03/04/2011
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