Healthcare Provider Details

I. General information

NPI: 1669918272
Provider Name (Legal Business Name): STEPHEN ALAN CHOU PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2017
Last Update Date: 01/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 E FOOTHILL BLVD
PASADENA CA
91107-2202
US

IV. Provider business mailing address

3627 DIVISION ST
LOS ANGELES CA
90065-3336
US

V. Phone/Fax

Practice location:
  • Phone: 626-351-0515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: