| Leon Peter Y. Chua, M.D. | |
|
500 N Broadway Ste 17 Blythe CA 92225-1279 | |
| (760) 922-2152 | |
| (760) 922-2292 |
| Full Name | Leon Peter Y. Chua, M.D. |
|---|---|
| Speciality | Family Medicine |
| Location | 500 N Broadway, Blythe, California |
| Authorized Official Name and Position | Leon Peter Y Chua (PRESIDENT) |
| Authorized Official Contact | 7609222152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Peter Y. Chua, M.D. 500 N Broadway Ste 17 Blythe CA 92225-1279 Ph: (760) 922-2152 | Leon Peter Y. Chua, M.D. 500 N Broadway Ste 17 Blythe CA 92225-1279 Ph: (760) 922-2152 |
| NPI Number | 1578580403 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578580403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C42412 (California) | Primary |
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