Provider Demographics
NPI:1598039521
Name:CHU, GINGER (PA-C)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1850 S AZUSA AVE
Mailing Address - Street 2:SUITE 88
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6813
Mailing Address - Country:US
Mailing Address - Phone:626-225-4900
Mailing Address - Fax:626-225-4901
Practice Address - Street 1:1850 S AZUSA AVE
Practice Address - Street 2:SUITE 88
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6813
Practice Address - Country:US
Practice Address - Phone:626-225-4900
Practice Address - Fax:626-225-4901
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21771363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant