Provider Demographics
NPI:1073682217
Name:CHIU, YU CHIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:YU CHIN
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10516 LOWER AZUSA RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-1209
Mailing Address - Country:US
Mailing Address - Phone:626-443-2020
Mailing Address - Fax:626-443-2027
Practice Address - Street 1:10516 LOWER AZUSA RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1209
Practice Address - Country:US
Practice Address - Phone:626-443-2020
Practice Address - Fax:626-443-2027
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4642213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6697390001Medicare NSC
CAE4642Medicare PIN