Provider Demographics
NPI:1437543436
Name:CHOU, CHIH HSUAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIH
Middle Name:HSUAN
Last Name:CHOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 GRAVES AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-5002
Mailing Address - Country:US
Mailing Address - Phone:408-366-2828
Mailing Address - Fax:
Practice Address - Street 1:3801 MIRANDA AVE.
Practice Address - Street 2:VA PALO ALTO HEALTH CARE SYSTEM, DENTAL (160)
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:408-930-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100998122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04559597Medicaid