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General NPI Number Information
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NPI Number | 1760508766
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Entity Type | Individual
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Provider Name | BONNIE H CHOW O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 8230 TALBERT AVE.
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646
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Country | US
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Telephone | 714-842-2795
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Fax | 714-842-9135
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Provider Business Mailing Address
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Address Line | 1 HENRY
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City | IRVINE
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State | CA
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Zip | 92620
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Country | US
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Telephone | 949-293-9663
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Fax | 949-654-3668
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12284T
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License Number State | CA
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