Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A106764 | CA |
NPI | 1972649580 |
---|---|
Provider Name | Dr. Eugene A. Chu |
First Address | Downey, CA 90242-2814 |
Second Address | Downey, CA 90242-2814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 30/11/2021 |