| Chua Chuang Inc. A Medical | |
|
3111 W Beverly Blvd Montebello CA 90640-2216 | |
| (323) 728-0671 | |
| (323) 728-8355 |
| Full Name | Chua Chuang Inc. A Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 3111 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | William A Chua (PRESIDENT) |
| Authorized Official Contact | 3237280671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chua Chuang Inc. A Medical 3111 W. Beverly Blvd. Montebello CA 90640 Ph: (323) 728-0671 | Chua Chuang Inc. A Medical 3111 W Beverly Blvd Montebello CA 90640-2216 Ph: (323) 728-0671 |
| NPI Number | 1861530511 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 07/09/2012 |
| Medicare PECOS PAC ID | 2961647151 |
|---|---|
| Medicare Enrollment ID | O20130315000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861530511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A34309 (California) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | A34309 (California) | Secondary |
| Provider Name | William Ang Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639199656 PECOS PAC ID: 1658526082 Enrollment ID: I20130308000401 |
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