Annabella Chu King, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50742 Issued in CA

Practice address

2105 Beverly Blvd
Ste. 215
Los Angeles, CA 90057-2216

Phone

(213) 413-4444

Fax

(213) 413-2247

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Annabella B Chu Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Annabella B Chu DMD Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1164656187
  Medicare reassignment NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1760522312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "STE. 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572273",
            "telephone_number": "213-413-4444",
            "fax_number": "213-413-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "STE. 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-4444",
            "fax_number": "213-413-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU KING",
        "first_name": "ANNABELLA",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNABELLA",
            "last_name": "CHU",
            "middle_name": "B",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joya Golden Chrystal, LCSW
• CHS Ipa Inc
• CHS Medical Group
• Mihran Chtchyan, DDS
• Suren Chtchyan, DDS
• -Cheryl Tam Chu, M.D
• Alan Shiao-Feng Chu, MD, MPH
• Alison Chu, M.D.
• Allison Chu
• Benjamin Adam Chu

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.