Provider Demographics
NPI:1669491916
Name:CHU, HWAI-MING WILLIAM (LAC, RPH)
Entity Type:Individual
Prefix:
First Name:HWAI-MING
Middle Name:WILLIAM
Last Name:CHU
Suffix:
Gender:M
Credentials:LAC, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 EWELL RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1649
Mailing Address - Country:US
Mailing Address - Phone:650-592-3881
Mailing Address - Fax:650-951-3798
Practice Address - Street 1:2200 EWELL RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1649
Practice Address - Country:US
Practice Address - Phone:650-592-3881
Practice Address - Fax:650-951-3798
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7683171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7683OtherAC