Provider Demographics
NPI:1578829438
Name:CHU, KEVIN W (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:W
Last Name:CHU
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Gender:M
Credentials:DO
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Mailing Address - Street 1:100 W CALIFORNIA BLVD
Mailing Address - Street 2:UNIT 25
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3010
Mailing Address - Country:US
Mailing Address - Phone:626-397-2390
Mailing Address - Fax:626-397-2390
Practice Address - Street 1:100 W CALIFORNIA BLVD
Practice Address - Street 2:UNIT 25
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3010
Practice Address - Country:US
Practice Address - Phone:626-397-2390
Practice Address - Fax:626-397-2390
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2021-12-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A12409207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine