Provider Demographics
NPI:1134416811
Name:CHU, NGOC FELIX (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NGOC
Middle Name:FELIX
Last Name:CHU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 LAKEWOOD CENTER MALL
Mailing Address - Street 2:T1409
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2419
Mailing Address - Country:US
Mailing Address - Phone:562-894-0020
Mailing Address - Fax:562-894-0020
Practice Address - Street 1:141 LAKEWOOD CENTER MALL
Practice Address - Street 2:T1409
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2419
Practice Address - Country:US
Practice Address - Phone:562-894-0020
Practice Address - Fax:562-894-0020
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist