Healthcare Provider Details

I. General information

NPI: 1407291354
Provider Name (Legal Business Name): ALLEN CHIOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1736 W MEDICAL CENTER DR SUITE B
ANAHEIM CA
92801-1854
US

IV. Provider business mailing address

1736 W MEDICAL CENTER DR SUITE B
ANAHEIM CA
92801-1854
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4085
  • Fax:
Mailing address:
  • Phone: 650-575-3914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA132018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: