Cecilia Chu, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G79572 Issued in CA

Legal business name

CECILIA CHU, M.D., INC.

Practice address

3771 Katella Ave
Suite 205
Los Alamitos, CA 90720-3108

Phone

(562) 594-7555

Fax

(562) 594-7553

NPI assigned

Sep 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Lok

Title

Vice-President

Phone

(562) 594-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1639487697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE",
            "address_2": "SUITE 205",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-594-7555",
            "fax_number": "562-594-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE",
            "address_2": "SUITE 205",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203108",
            "telephone_number": "562-594-7555",
            "fax_number": "562-594-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA CHU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "LOK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "562-594-7555"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G79572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G795720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Castillo
• Steven Michael Castillo
• Michael Paul Castro, RNFA
• Jessica Catania
• Mary C Catone, MFT
• Eddie Alejandro Cecilio, D.D.S.
• Jacqueline Celaya, MA, EDS
• Risha Alleyne Rodis Cenidoza
• Center for Discovery & Adolescent Change
• Centers for Family Medicine

• All providers in Los Alamitos, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.