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General NPI Number Information
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NPI Number | 1952368920
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Entity Type | Individual
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Provider Name | ALEXANDER M CHOP PH.D. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 44139 MONTEREY AVE STE A
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City | PALM DESERT
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State | CA
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Zip | 92260-8700
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Country | US
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Telephone | 760-779-0800
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Fax | 760-779-0801
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Provider Business Mailing Address
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Address Line | 47474 WASHINGTON ST
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City | LA QUINTA
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State | CA
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Zip | 92253-8846
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Country | US
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Telephone | 800-898-2020
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Fax | 844-897-3788
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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 | 226559-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A80309
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License Number State | CA
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