Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A24638 | CA |
NPI | 1134210842 |
---|---|
Provider Name | Dr. Luis Antonio Chui |
First Address | Orange, CA 92868-3217 |
Second Address | Orange, CA 92868-3217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 13/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A24638 | (02) | CA |