Provider Demographics
NPI:1114201126
Name:UY, ARTURO CHU JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:CHU
Last Name:UY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARTURO
Other - Middle Name:C
Other - Last Name:UY JR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:170 W. 24TH STREET
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-1162
Mailing Address - Country:US
Mailing Address - Phone:909-946-5818
Mailing Address - Fax:
Practice Address - Street 1:170 W. 24TH STREET
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91784-1162
Practice Address - Country:US
Practice Address - Phone:909-946-5818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38781174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC38781OtherMEDICAL LICENSE