Provider Demographics
NPI:1134210842
Name:CHUI, LUIS ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ANTONIO
Last Name:CHUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 S MANCHESTER AVE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3217
Mailing Address - Country:US
Mailing Address - Phone:714-456-2332
Mailing Address - Fax:714-456-5997
Practice Address - Street 1:200 S MANCHESTER AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3217
Practice Address - Country:US
Practice Address - Phone:714-456-2332
Practice Address - Fax:714-456-5997
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-12-13
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Provider Licenses
StateLicense IDTaxonomies
CAA24638204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24638Medicare UPIN