Provider Demographics
NPI:1710915509
Name:CHOW, JOSEPH F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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:92647-7520
Mailing Address - Country:US
Mailing Address - Phone:714-841-8818
Mailing Address - Fax:714-814-2121
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:92647-7520
Practice Address - Country:US
Practice Address - Phone:714-841-8818
Practice Address - Fax:714-814-2121
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG38395207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G383952Medicaid
CA00G383952Medicaid
CAG38395AMedicare ID - Type Unspecified