Provider Demographics
NPI:1417416561
Name:CHU, SHUN LEUNG
Entity Type:Individual
Prefix:
First Name:SHUN LEUNG
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 DUKE CIR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1534
Mailing Address - Country:US
Mailing Address - Phone:925-899-8143
Mailing Address - Fax:
Practice Address - Street 1:761 DUKE CIR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1534
Practice Address - Country:US
Practice Address - Phone:925-899-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist