Provider Demographics
NPI:1023223195
Name:CHUI, LES (DC)
Entity Type:Individual
Prefix:DR
First Name:LES
Middle Name:
Last Name:CHUI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 SAN BRUNO AVE W
Mailing Address - Street 2:#1
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3440
Mailing Address - Country:US
Mailing Address - Phone:650-872-2229
Mailing Address - Fax:650-952-3083
Practice Address - Street 1:931 SAN BRUNO AVE W
Practice Address - Street 2:#1
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3440
Practice Address - Country:US
Practice Address - Phone:650-872-2229
Practice Address - Fax:650-952-3083
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor