Healthcare Provider Details

I. General information

NPI: 1659957652
Provider Name (Legal Business Name): STEPHANIE S. CHOU-NAREWSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE S. CHOU MD

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 12/30/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 THE CITY DR S
ORANGE CA
92868-3201
US

IV. Provider business mailing address

505 S MAIN ST STE 525
ORANGE CA
92868-4553
US

V. Phone/Fax

Practice location:
  • Phone: 714-880-7812
  • Fax:
Mailing address:
  • Phone: 714-456-5631
  • Fax: 714-285-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA192412
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: