Healthcare Provider Details

I. General information

NPI: 1720131741
Provider Name (Legal Business Name): STEVEN CHOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

886 W FOOTHILL BLVD STE C
UPLAND CA
91786
US

IV. Provider business mailing address

1544 7TH ST UNIT 14
SANTA MONICA CA
90401-2681
US

V. Phone/Fax

Practice location:
  • Phone: 310-280-8719
  • Fax: 310-310-8144
Mailing address:
  • Phone: 310-280-8719
  • Fax: 310-310-8144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA104395
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberA104395
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: