Organization
SHAN C CHU MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN C CHU MD (OWNER)
(626) 280-4393
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE STE 204, MONTEREY PARK, CA 91754-1242
(626) 280-4393
(626) 280-5379
Mailing address
2275 ROANOKE RD, SAN MARINO, CA 91108-2634
(626) 280-4393
(626) 280-5379
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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