Healthcare Provider Details

I. General information

NPI: 1487001590
Provider Name (Legal Business Name): BENJAMIN F CHOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 09/03/2022
Certification Date: 09/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 W ORANGE AVE
ANAHEIM CA
92804-3183
US

IV. Provider business mailing address

4955 VAN NUYS BLVD STE 308
SHERMAN OAKS CA
91403-1811
US

V. Phone/Fax

Practice location:
  • Phone: 714-827-3000
  • Fax:
Mailing address:
  • Phone: 818-528-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA161900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: