Provider Demographics
NPI:1518098839
Name:CHIU, ECHO YUSUU (MD)
Entity Type:Individual
Prefix:DR
First Name:ECHO
Middle Name:YUSUU
Last Name:CHIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 AUBURN ST APT 141
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-2852
Mailing Address - Country:US
Mailing Address - Phone:707-332-2058
Mailing Address - Fax:661-322-9501
Practice Address - Street 1:9500 STOCKDALE HWY STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3621
Practice Address - Country:US
Practice Address - Phone:661-322-2273
Practice Address - Fax:661-322-9501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92428261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI49162Medicare UPIN