MEDICARE: WILLIAM W CHOW MD A PROFESSIONAL CORPORATION

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	2084N0400X	Neurology Physician	A64697	CA

General Provider Information

NPI Number	:	1801046016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM W CHOW MD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	8635 W THIRD ST
Second Line	:	SUITE 450W
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5905
Country	:	US
Telephone Number	:	310-659-4986
Fax Number	:

Provider Business Practice Location Address
First Line	:	8635 W THIRD ST
Second Line	:	SUITE 450W
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5905
Country	:	US
Telephone Number	:	310-659-4986
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM W CHOW
Credential	:	MD
Telephone Number	:	310-659-4987

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	01/17/2024

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