MEDICARE: DEBORAH ANN CHOW NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP8247	CA

General Provider Information

NPI Number	:	1710991757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN CHOW NP

Provider Business Mailing Address
First Line	:	1045 ATLANTIC AVE
Second Line	:	SUITE 705
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3408
Country	:	US
Telephone Number	:	562-491-9281
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 REDONDO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2651
Country	:	US
Telephone Number	:	562-433-7496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

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