Healthcare Provider Details

I. General information

NPI: 1033440623
Provider Name (Legal Business Name): JOSEPH F CHOW M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17822 BEACH BLVD SUITE 468
HUNTINGTON BEACH CA
92647-7101
US

IV. Provider business mailing address

17822 BEACH BLVD SUITE 468
HUNTINGTON BEACH CA
92647-7101
US

V. Phone/Fax

Practice location:
  • Phone: 714-841-8818
  • Fax: 714-841-2121
Mailing address:
  • Phone: 714-841-8818
  • Fax: 714-841-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberG38395
License Number StateCA

VIII. Authorized Official

Name: DR. JOSEPH F CHOW
Title or Position: OWNER
Credential: M.D.
Phone: 714-841-8818