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NPI Code Detail

MEDICARE: TINA TUNGYING CHOU

MEDICARE:   TINA TUNGYING CHOU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist43946CA

General Provider Information

NPI Number : 1154640746
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA TUNGYING CHOU
Provider Business Mailing Address
First Line : 4046 S CENTINELA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4907
Country : US
Telephone Number : 310-391-0255
Fax Number : 310-390-9279
Provider Business Practice Location Address
First Line : 4046 S CENTINELA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4907
Country : US
Telephone Number : 310-391-0255
Fax Number : 310-390-9279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2010
Last Update Date : 05/22/2010

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Directions to “ TINA TUNGYING CHOU ” Practice Location

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