Provider Demographics
NPI:1033440623
Name:JOSEPH F CHOW M.D., INC.
Entity Type:Organization
Organization Name:JOSEPH F CHOW M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-841-8818
Mailing Address - Street 1:17822 BEACH BLVD
Mailing Address - Street 2:SUITE 468
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7101
Mailing Address - Country:US
Mailing Address - Phone:714-841-8818
Mailing Address - Fax:714-841-2121
Practice Address - Street 1:17822 BEACH BLVD
Practice Address - Street 2:SUITE 468
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7101
Practice Address - Country:US
Practice Address - Phone:714-841-8818
Practice Address - Fax:714-841-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38395261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G383950Medicaid
CA05D0580125OtherCLIA
CA1710915509OtherNPI TYPE 1
CAAC8692750OtherDEA
CAAC8692750OtherDEA
CA00G383950Medicaid