Provider Demographics
NPI:1245383884
Name:CHIU, JOHN CHIH SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHIH
Last Name:CHIU
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1001 NEWBURY RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6434
Mailing Address - Country:US
Mailing Address - Phone:805-375-7900
Mailing Address - Fax:805-375-7975
Practice Address - Street 1:1001 NEWBURY RD
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-6434
Practice Address - Country:US
Practice Address - Phone:805-375-7900
Practice Address - Fax:805-375-7975
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC31784207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA34702Medicare ID - Type Unspecified
CAA34702Medicare UPIN
CAWC31784CMedicare PIN