Provider Demographics
NPI:1174589642
Name:CHUEH, DANIEL F (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:F
Last Name:CHUEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1601
Mailing Address - Street 2:
Mailing Address - City:SUNSET BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90742-1601
Mailing Address - Country:US
Mailing Address - Phone:714-633-4300
Mailing Address - Fax:714-463-3633
Practice Address - Street 1:1010 W CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2847
Practice Address - Country:US
Practice Address - Phone:714-633-4300
Practice Address - Fax:714-463-3633
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA486242084P0800X, 2084P0804X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE51642Medicare UPIN
CAA48624Medicare PIN