| Annabella B Chu Dmd Inc | |
|
2105 Beverly Blvd Ste. 215 Los Angeles CA 90057-2216 | |
| (213) 413-4444 | |
| (213) 413-2247 |
| Full Name | Annabella B Chu Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 2105 Beverly Blvd, Los Angeles, California |
| Authorized Official Name and Position | Annabella B Chu (DENTIST/OWNER) |
| Authorized Official Contact | 2134134444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annabella B Chu Dmd Inc 2105 Beverly Blvd Ste. 215 Los Angeles CA 90057-2216 Ph: (213) 413-4444 | Annabella B Chu Dmd Inc 2105 Beverly Blvd Ste. 215 Los Angeles CA 90057-2216 Ph: (213) 413-4444 |
| NPI Number | 1164656187 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Medicare PECOS PAC ID | 9436494820 |
|---|---|
| Medicare Enrollment ID | O20181212002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164656187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50742 (California) | Primary |
| Provider Name | Annabella Chu King |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760522312 PECOS PAC ID: 8123336823 Enrollment ID: I20181212002139 |
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