Provider Demographics
NPI:1225149115
Name:CHOW, MAN HUNG JASMINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAN HUNG
Middle Name:JASMINE
Last Name:CHOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:655 EUCLID AVE
Mailing Address - Street 2:210
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2957
Mailing Address - Country:US
Mailing Address - Phone:619-475-4004
Mailing Address - Fax:619-470-2793
Practice Address - Street 1:655 EUCLID AVE
Practice Address - Street 2:210
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2957
Practice Address - Country:US
Practice Address - Phone:619-475-4004
Practice Address - Fax:619-470-2793
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG66745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine