Provider Demographics
NPI:1740487446
Name:DENNY T. CHIU DOCTOR OF CHIROPRACTIC INC.
Entity type:Organization
Organization Name:DENNY T. CHIU DOCTOR OF CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNY
Authorized Official - Middle Name:TYH-CHING
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:626-286-5800
Mailing Address - Street 1:5553 ROSEMEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1802
Mailing Address - Country:US
Mailing Address - Phone:626-286-0800
Mailing Address - Fax:626-286-5811
Practice Address - Street 1:5553 ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-1802
Practice Address - Country:US
Practice Address - Phone:626-286-0800
Practice Address - Fax:626-286-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29913111N00000X
CAAC11228171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty