Provider Demographics
NPI:1568570992
Name:CHIU, SEAN YUFU (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:YUFU
Last Name:CHIU
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 W LINCOLN AVE STE N
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5425
Mailing Address - Country:US
Mailing Address - Phone:714-687-9090
Mailing Address - Fax:714-687-9092
Practice Address - Street 1:1834 W LINCOLN AVE STE N
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5425
Practice Address - Country:US
Practice Address - Phone:714-687-9090
Practice Address - Fax:714-687-9092
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH41787183500000X
CAAC 9572171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4375900001Medicare NSC