Chua, Gabriel Samuel

Chua, Gabriel Samuel is an sole proprietor health care provider with primary practice located at 100 Hospital Dr Ste 200 , Vallejo CA 94589-2582. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chua, Gabriel Samuel can be contacted via phone (707) 427-4900.

Contact Information

Primary practice address
100 Hospital Dr Ste 200 Vallejo CA 94589-2582
Phone: (707) 427-4900
Fax: (707) 551-3641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A49399 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X A49399 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A49399 California

Profile Details

NPI number 1265476428
LBN Legal business name Chua, Gabriel Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Dec 19th, 2023 - about 3 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 1265476428 NPPES
California MEDICAID 00A493992

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