Provider Demographics
NPI:1114189529
Name:CHU, WEIMING DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:WEIMING
Middle Name:DAVID
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WEIMING
Other - Middle Name:DAVID
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:520 N MAIN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4623
Mailing Address - Country:US
Mailing Address - Phone:714-352-5800
Mailing Address - Fax:714-352-5801
Practice Address - Street 1:520 N MAIN ST STE 220
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4623
Practice Address - Country:US
Practice Address - Phone:714-352-5800
Practice Address - Fax:714-352-5801
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1168002084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F1587ZOtherPTAN