Provider Demographics
NPI:1861679995
Name:CHUI, VIVIAN W
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:W
Last Name:CHUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011
Mailing Address - Country:US
Mailing Address - Phone:818-790-6102
Mailing Address - Fax:818-790-4083
Practice Address - Street 1:1346 FOOTHILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011
Practice Address - Country:US
Practice Address - Phone:818-790-6102
Practice Address - Fax:818-790-4083
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics