MEDICARE: MS. YEEHANG EVON CHOW LCSW

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1720233547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YEEHANG EVON CHOW LCSW

Provider Business Mailing Address
First Line	:	450 BAUCHET ST.
Second Line	:	MENTAL HEALTH DEPARTMENT
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2906
Country	:	US
Telephone Number	:	213-473-1733
Fax Number	:	213-972-4002

Provider Business Practice Location Address
First Line	:	450 BAUCHET ST.
Second Line	:	MENTAL HEALTH DEPARTMENT
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2906
Country	:	US
Telephone Number	:	213-473-1733
Fax Number	:	213-972-4002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	08/10/2012

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