Provider Demographics
NPI:1255407813
Name:LE, CHU X (DO)
Entity type:Individual
Prefix:DR
First Name:CHU
Middle Name:X
Last Name:LE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:8239 ROCHESTER AVENUE
Mailing Address - Street 2:SUITE #120
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-941-0266
Mailing Address - Fax:909-941-0569
Practice Address - Street 1:8239 ROCHESTER AVENUE
Practice Address - Street 2:SUITE #120
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-941-0266
Practice Address - Fax:909-941-0569
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2024-12-16
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Provider Licenses
StateLicense IDTaxonomies
CA20A7546207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine