Provider Demographics
NPI:1396864153
Name:CHOU, CATHY FUN-HON (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHY FUN-HON
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16034 PEPPERTREE LN
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-3460
Mailing Address - Country:US
Mailing Address - Phone:714-726-4855
Mailing Address - Fax:
Practice Address - Street 1:10600 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6607
Practice Address - Country:US
Practice Address - Phone:714-758-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA439191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice