Doctor Name: | DR. DAVID CHUQUIMIA |
NPI Number: | 1043563216 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PSY21398 |
Business Practice Address: | 14901 Central Ave Chino, CA - 917109500 |
Business Phone Number: | 9095971821 |
Business Fax Number: | |
Mailing Address: | 14901 Central Ave, CHINO |
State: | CA |
Postal Code: | 917109500 |
Phone Number: | 9095971821 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2012 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY21398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |