Provider Demographics
NPI:1083727572
Name:JULIAN CO CHUA, M.D., P.C.
Entity Type:Organization
Organization Name:JULIAN CO CHUA, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:CO
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-824-2356
Mailing Address - Street 1:1951 LOS PADRES DR
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3658
Mailing Address - Country:US
Mailing Address - Phone:310-529-9237
Mailing Address - Fax:626-331-3204
Practice Address - Street 1:1951 LOS PADRES DR
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3658
Practice Address - Country:US
Practice Address - Phone:310-529-9237
Practice Address - Fax:626-331-3204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50217207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C502170Medicaid
CA00C502170Medicaid
CAW20097Medicare PIN