Provider Demographics
NPI:1609500537
Name:JOSHUA CHUA PHYSICIAN ASSISTANT PA-C APC
Entity Type:Organization
Organization Name:JOSHUA CHUA PHYSICIAN ASSISTANT PA-C APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICIAN ASSISTANT
Authorized Official - Phone:858-449-8561
Mailing Address - Street 1:10978 W OCEAN AIR DR APT 3119
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-4653
Mailing Address - Country:US
Mailing Address - Phone:858-449-8561
Mailing Address - Fax:
Practice Address - Street 1:10978 W OCEAN AIR DR APT 3119
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-4653
Practice Address - Country:US
Practice Address - Phone:858-449-8561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty