Provider Demographics
NPI:1447526512
Name:DORTHA T. CHU M.D., INC
Entity type:Organization
Organization Name:DORTHA T. CHU M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DORTHA
Authorized Official - Middle Name:TAO-YI
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-467-2371
Mailing Address - Street 1:23004 WEYMOUTH PL
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-2041
Mailing Address - Country:US
Mailing Address - Phone:661-678-3696
Mailing Address - Fax:888-225-6797
Practice Address - Street 1:25424 ORCHARD VILLAGE RD STE 150
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:661-467-2371
Practice Address - Fax:661-753-8647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86342208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0765638Medicaid