Healthcare Provider Details

I. General information

NPI: 1811827553
Provider Name (Legal Business Name): KATHLEEN CHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 SAN ANTONIO RD STE 100
MOUNTAIN VIEW CA
94040-5309
US

IV. Provider business mailing address

1445 STONELAKE COVE AVE APT 13105
HENDERSON NV
89074-7912
US

V. Phone/Fax

Practice location:
  • Phone: 650-446-4900
  • Fax:
Mailing address:
  • Phone: 626-272-3752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number899850
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: