Provider Demographics
NPI:1770611956
Name:CHU, WAN YI (DDS)
Entity type:Individual
Prefix:DR
First Name:WAN YI
Middle Name:
Last Name:CHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2108
Mailing Address - Country:US
Mailing Address - Phone:626-286-9600
Mailing Address - Fax:626-286-9602
Practice Address - Street 1:9600 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2108
Practice Address - Country:US
Practice Address - Phone:626-286-9600
Practice Address - Fax:626-286-9602
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist