| Sufen Chiu, M.d., Psychiatrist, Inc. | |
|
2657 Portage Bay E Ste 3 Davis CA 95616-3040 | |
| (530) 219-2750 | |
| (877) 844-1699 |
| Full Name | Sufen Chiu, M.d., Psychiatrist, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2657 Portage Bay E Ste 3, Davis, California |
| Authorized Official Name and Position | Sufen Chiu (PRESIDENT) |
| Authorized Official Contact | 5302192750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sufen Chiu, M.d., Psychiatrist, Inc. Po Box 73284 Davis CA 95617-3284 Ph: (530) 219-2750 | Sufen Chiu, M.d., Psychiatrist, Inc. 2657 Portage Bay E Ste 3 Davis CA 95616-3040 Ph: (530) 219-2750 |
| NPI Number | 1396943833 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 09/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396943833 | NPI | - | NPPES |
| 00G865930 | Medicaid | CA | |
| 1336124486 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G86593 (California) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G86593 (California) | Secondary |
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