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General NPI Number Information
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NPI Number | 1336250117
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Entity Type | Individual
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Provider Name | TINA MARIE CHOU M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1299 NEWELL HILL PL SUITE 103
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5292
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Country | US
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Telephone | 925-947-0505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1527
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City | ORINDA
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State | CA
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Zip | 94563-0682
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Country | US
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Telephone | 925-947-0505
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G80418
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | G80418
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License Number State | CA
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