Provider Demographics
NPI:1285607903
Name:RHEE, JU CHUL (MD)
Entity type:Individual
Prefix:DR
First Name:JU
Middle Name:CHUL
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 N ORANGE GROVE AVE
Mailing Address - Street 2:#302
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767
Mailing Address - Country:US
Mailing Address - Phone:909-623-9671
Mailing Address - Fax:909-469-1475
Practice Address - Street 1:1818 N ORANGE GROVE AVE
Practice Address - Street 2:#302
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767
Practice Address - Country:US
Practice Address - Phone:909-623-9671
Practice Address - Fax:909-469-1475
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39617207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C396171Medicaid
A88119Medicare UPIN
A88119Medicare ID - Type Unspecified