Provider Demographics
NPI:1700447885
Name:CHUA, JOSHUA WENLI (PA-C)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WENLI
Last Name:CHUA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5395 RUFFIN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1338
Mailing Address - Country:US
Mailing Address - Phone:858-598-5290
Mailing Address - Fax:
Practice Address - Street 1:5395 RUFFIN RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1338
Practice Address - Country:US
Practice Address - Phone:858-598-5290
Practice Address - Fax:858-598-5296
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2023-03-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant