Vivian W Chui
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · La Canada, CA
NPI 1861679995 · NPPES record last updated Jan 31, 2008
Key facts
- NPI
- 1861679995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 34318 (CA)
- Practice address
- 1346 Foothill Blvd
Suite 200
La Canada, CA 91011 - Phone
- (818) 790-6102
- Fax
- (818) 790-4083
- NPI assigned
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34318 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 34318 | CA | Yes |
Addresses
Primary practice location
1346 Foothill Blvd
Suite 200
La Canada, CA 91011
Mailing address
1346 Foothill Blvd
Suite 200
La Canada, CA 91011
Phone (818) 790-6102
Other providers in La Canada, CA
- Tony Chahine
- Christa Rebecca Chandy
- Lita Choi
- Nicole Choi
- Yee-Jean Chou
- Kyunghwa Chung
- CMRX Drug Corporation
- Tiare Coker
- Gary Lynn Coleman
- Theresa Marie Collins
All providers in La Canada, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.