Chiaki Miura Jutabha
MD | Pediatrics | Female
Chiaki Miura Jutabha, MD is a Manhattan Beach, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Chiaki Miura Jutabha is
2501 N Sepulveda Blvd Ste 101, Manhattan Beach, California - 90266-2722. She can be contacted on phone at
310-546-8702 and fax number 310-545-5310.
Chiaki Miura Jutabha is a sole proprietor of her business.
NPI number (Unique professional ID) for Chiaki Miura Jutabha is
1760493126 which was assigned by NPPES on 11 Aug, 2006 and it was last updated on 21 Jul, 2022.
Chiaki Miura Jutabha license number is
A64833 for Pediatrics (208000000X) in California.
Chiaki Miura Jutabha is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Chiaki Miura Jutabha basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Chiaki Miura Jutabha |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Chiaki Miura Jutabha address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2501 N Sepulveda Blvd Ste 101
Manhattan Beach, CA, 90266-2722
United States |
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| Phone Number : | 310-546-8702 |
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| Fax Number : | 310-545-5310 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760493126 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Aug, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chiaki Miura Jutabha are as mentioned. Primary taxonomy code for Chiaki Miura Jutabha, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A64833 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Chiaki Miura Jutabha such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A648330 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5767 W Century Blvd, Suite 200
Los Angeles, CA, 90045-5632
United States |
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| Phone Number : | 310-829-9935 |
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| Fax Number : | 310-829-1077 |
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Business Location:
Patients can refer following map for directions to
Chiaki Miura Jutabha practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.