Provider Demographics
NPI:1346216009
Name:CHU, JAMES M (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1010 W LA VETA AVE
Mailing Address - Street 2:SUITE 575
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4300
Mailing Address - Country:US
Mailing Address - Phone:714-547-0900
Mailing Address - Fax:714-547-2080
Practice Address - Street 1:1010 W LA VETA AVE
Practice Address - Street 2:SUITE 575
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4300
Practice Address - Country:US
Practice Address - Phone:714-547-0900
Practice Address - Fax:714-547-2080
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2014-02-19
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Provider Licenses
StateLicense IDTaxonomies
CAA66339208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A66339Medicaid
CA00A66339Medicaid