Jennifer Chua So is a Clinical in Los Angeles, California. Jennifer Chua So practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Chua So is 1891950820. The last update date is 2019-05-09.
Jennifer Chua So's current location address is 11835 W Olympic Blvd Ste 1265e, Los Angeles, California. You can contact this provider via phone number 3102734843 and fax number 3102735056. The mailing address for Jennifer Chua So is 11835 W Olympic Blvd Ste 1265e, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Chua So |
|---|---|
| Address | 11835 W Olympic Blvd Ste 1265e, Los Angeles, California |
| Phone Number | 3102734843 |
| Fax Number | 3102735056 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1891950820 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2019-05-09 |
Provider Mailing Address Detail
| Address | 11835 W Olympic Blvd Ste 1265e |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900645814 |
| Phone Number | 3102734843 |
| Fax Number | 3102735056 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY26610 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Jennifer Chua So by the Centers for Medicare & Medicaid Services?
The Jennifer Chua So has been assigned the NPI (National Provider Identifier) 1891950820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jennifer Chua So's facilities are geographically located?
The facilities of Jennifer Chua So are physically situated at the following location: 11835 W Olympic Blvd Ste 1265E, Los Angeles, CA, 900645814.
What is the Jennifer Chua So's specialty and taxonomy code?
The Jennifer Chua So's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891950820 to Jennifer Chua So?
The Centers for Medicare & Medicaid Services originally issued the 1891950820 to Jennifer Chua So on 2008-07-18.
When was the Jennifer Chua So's information last updated?
The Jennifer Chua So's information was last updated on 2019-05-09.