Provider Demographics
NPI:1750817755
Name:CHOU, CHIHKANG MICHAEL (LAC)
Entity Type:Individual
Prefix:MR
First Name:CHIHKANG
Middle Name:MICHAEL
Last Name:CHOU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20275 HERRIMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4905
Mailing Address - Country:US
Mailing Address - Phone:408-893-8330
Mailing Address - Fax:
Practice Address - Street 1:146 E IOWA AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6136
Practice Address - Country:US
Practice Address - Phone:408-893-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17291171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist