Healthcare Provider Details

I. General information

NPI: 1699083634
Provider Name (Legal Business Name): JU-CHIN CHOU OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W D ST
ONTARIO CA
91762-3026
US

IV. Provider business mailing address

92 ALICANTE AISLE
IRVINE CA
92614-5932
US

V. Phone/Fax

Practice location:
  • Phone: 909-459-2500
  • Fax:
Mailing address:
  • Phone: 949-295-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number11429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: