| Bor-han Chiu, Do, Pc | |
|
11103 Venice Blvd Los Angeles CA 90034-6914 | |
| (310) 734-8526 | |
| Not Available |
| Full Name | Bor-han Chiu, Do, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11103 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Bor-han Chiu (PRESIDENT) |
| Authorized Official Contact | 3236738168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bor-han Chiu, Do, Pc 11103 Venice Blvd Los Angeles CA 90034-6914 Ph: () - | Bor-han Chiu, Do, Pc 11103 Venice Blvd Los Angeles CA 90034-6914 Ph: (310) 734-8526 |
| NPI Number | 1114537990 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 6800213232 |
|---|---|
| Medicare Enrollment ID | O20200901000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114537990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Bor-han Chiu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306239470 PECOS PAC ID: 2466758933 Enrollment ID: I20190722000766 |
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