Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1245551050 |
---|---|
Provider Name | Elynne Chu |
First Address | Rosemead, CA 91770-3424 |
Second Address | Rosemead, CA 91770-3424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2010 |
Last Update Date | 15/06/2010 |