Provider Demographics
NPI:1114037918
Name:CHU, DAVID J (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:CHU
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Gender:M
Credentials:OD
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Mailing Address - Street 1:2 JOURNEY
Mailing Address - Street 2:103
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3332
Mailing Address - Country:US
Mailing Address - Phone:949-362-3500
Mailing Address - Fax:949-362-0380
Practice Address - Street 1:2 JOURNEY
Practice Address - Street 2:103
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3332
Practice Address - Country:US
Practice Address - Phone:949-362-3500
Practice Address - Fax:949-362-0380
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2016-04-15
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Provider Licenses
StateLicense IDTaxonomies
CAOPT 12794 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHG449ZMedicare PIN