Provider Demographics
NPI:1245241355
Name:CHUA, JULIAN CO (MD,PC)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:CO
Last Name:CHUA
Suffix:
Gender:M
Credentials:MD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC50217207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C502170Medicaid
CAWC50217DMedicare PIN
CAWC50217CMedicare PIN
CA00C502170Medicaid
CADU724TMedicare PIN