Provider Demographics
NPI:1528465101
Name:CHIU-HUGH, JENFENG JENNA (LMT, CLT)
Entity type:Individual
Prefix:
First Name:JENFENG
Middle Name:JENNA
Last Name:CHIU-HUGH
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:CHIU-HUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14307 RAMONA BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706
Mailing Address - Country:US
Mailing Address - Phone:626-856-3183
Mailing Address - Fax:
Practice Address - Street 1:14307 RAMONA BLVD
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3242
Practice Address - Country:US
Practice Address - Phone:626-856-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172M00000X
CA43472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No183500000XPharmacy Service ProvidersPharmacist