Provider Demographics
NPI:1639215338
Name:CHU, PAK WAI
Entity Type:Individual
Prefix:PROF
First Name:PAK WAI
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 JUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1130
Mailing Address - Country:US
Mailing Address - Phone:415-452-8839
Mailing Address - Fax:
Practice Address - Street 1:1329 POWELL ST # F
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4350
Practice Address - Country:US
Practice Address - Phone:415-989-4838
Practice Address - Fax:415-989-4838
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5951171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist