| Peter Hor-tao Chiu | |
|
416 W Las Tunas Dr Suite 303 San Gabriel CA 91776-1236 | |
| (626) 299-7100 | |
| (626) 299-7103 |
| Full Name | Peter Hor-tao Chiu |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 W Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Peter H Chiu (DOCTOR OF INTERNAL MEDICINE) |
| Authorized Official Contact | 6262997100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Hor-tao Chiu 416 W Las Tunas Dr Suite 303 San Gabriel CA 91776-1236 Ph: (626) 299-7100 | Peter Hor-tao Chiu 416 W Las Tunas Dr Suite 303 San Gabriel CA 91776-1236 Ph: (626) 299-7100 |
| NPI Number | 1114208287 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114208287 | NPI | - | NPPES |
| G076879 | Other | CA | STATE LICENSE |
| 00G768790 | Medicaid | CA | |
| 0076890 | Other | CA | BLUE SHIELD |
| 7914016 | Other | CA | AETNA |
| G076879 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G76879 (California) | Primary |
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Super Care Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 E Valley Blvd, San Gabriel, CA 91776 Phone: 626-572-3088 Fax: 626-572-3688 | |
Medex Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127-b W Las Tunas Dr., San Gabriel, CA 91776 Phone: 626-457-8600 | |
Aaron I Jeng Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 438 W Las Tunas Dr, San Gabriel, CA 91776 Phone: 626-289-5454 |