Healthcare Provider Details

I. General information

NPI: 1346446713
Provider Name (Legal Business Name): HSUN-HUA CHOU MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 10/12/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 TWIN TRAILS DR UNIT 720062
SAN DIEGO CA
92172-7004
US

IV. Provider business mailing address

9245 TWIN TRAILS DR UNIT 720062
SAN DIEGO CA
92172-7004
US

V. Phone/Fax

Practice location:
  • Phone: 858-255-4586
  • Fax:
Mailing address:
  • Phone: 858-255-4586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA104455
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA104455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: