| James C Chiu Dds Inc | |
|
17130 Magnolia St Fountain Valley CA 92708-3348 | |
| (714) 717-2584 | |
| Not Available |
| Full Name | James C Chiu Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17130 Magnolia St, Fountain Valley, California |
| Authorized Official Name and Position | James Cheng-pang Chiu (CEO) |
| Authorized Official Contact | 7147172584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James C Chiu Dds Inc 9791 Rainier Cir Huntington Beach CA 92646-4850 Ph: (714) 717-2584 | James C Chiu Dds Inc 17130 Magnolia St Fountain Valley CA 92708-3348 Ph: (714) 717-2584 |
| NPI Number | 1578060612 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578060612 | NPI | - | NPPES |
| 61945 | Other | CA | DCA - DEPARTMENET OF CONSUMER AFFAIR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 61945 (California) | Primary |
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