Chu, Frederick

Chu, Frederick is an individual health care provider with primary practice located at 954 W Foothill Blvd Suite A, Upland CA 91786. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chu, Frederick can be contacted via phone (909) 946-4222.

Contact Information

Primary practice address
954 W Foothill Blvd Suite A Upland CA 91786
Phone: (909) 946-4222
Fax: (909) 946-8243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11655 California

Profile Details

NPI number 1619950748
LBN Legal business name Chu, Frederick
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619950748 NPPES
California MEDICAID PSY116550

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