Healthcare Provider Details

I. General information

NPI: 1376717041
Provider Name (Legal Business Name): EVA CHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR DEPARTMENT OF OPHTHALMOLOGY
SAN DIEGO CA
92134
US

IV. Provider business mailing address

34800 BOB WILSON DR DEPARTMENT OF OPHTHALMOLOGY
SAN DIEGO CA
92134
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-6700
  • Fax: 619-532-7272
Mailing address:
  • Phone: 619-532-6700
  • Fax: 619-532-7272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number243276
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberP4942
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberP4942
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: