Provider Demographics
NPI:1780873075
Name:CHWU, MING-YA JOSHUA (DDS)
Entity type:Individual
Prefix:DR
First Name:MING-YA
Middle Name:JOSHUA
Last Name:CHWU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 LA PAZ LN
Mailing Address - Street 2:UNIT B
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3867
Mailing Address - Country:US
Mailing Address - Phone:213-840-8385
Mailing Address - Fax:
Practice Address - Street 1:15651 IMPERIAL HWY
Practice Address - Street 2:SUITE 201A
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1628
Practice Address - Country:US
Practice Address - Phone:213-840-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA461731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics