Provider Demographics
NPI:1417917386
Name:CHU, MILTON W (MD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:W
Last Name:CHU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5800 SANTA ROSA RD
Mailing Address - Street 2:STE 111
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-7056
Mailing Address - Country:US
Mailing Address - Phone:805-987-1341
Mailing Address - Fax:805-987-7971
Practice Address - Street 1:5800 SANTA ROSA RD
Practice Address - Street 2:STE 111
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-7056
Practice Address - Country:US
Practice Address - Phone:805-987-1341
Practice Address - Fax:805-987-7971
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2008-06-06
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Provider Licenses
StateLicense IDTaxonomies
CAG67161207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG67161Medicare PIN