Provider Demographics
NPI:1013646421
Name:CHU, JA-YEE ANN (DNP, CNS, RN, PHN)
Entity Type:Individual
Prefix:DR
First Name:JA-YEE
Middle Name:ANN
Last Name:CHU
Suffix:
Gender:F
Credentials:DNP, CNS, RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2317 VALLEY TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1113
Mailing Address - Country:US
Mailing Address - Phone:805-813-1865
Mailing Address - Fax:
Practice Address - Street 1:4867 W SUNSET BLVD OFC 4009
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5969
Practice Address - Country:US
Practice Address - Phone:323-783-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4490364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist