Provider Demographics
NPI:1821010745
Name:CHOU, CINDY HUANG (MD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:HUANG
Last Name:CHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HSIN-YING
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:207 S SANTA ANITA ST
Mailing Address - Street 2:STE 335
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776
Mailing Address - Country:US
Mailing Address - Phone:626-576-1214
Mailing Address - Fax:626-458-3387
Practice Address - Street 1:207 S SANTA ANITA ST
Practice Address - Street 2:STE 335
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776
Practice Address - Country:US
Practice Address - Phone:626-576-1214
Practice Address - Fax:626-458-3387
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64425207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A644251Medicaid
CA00A644251Medicaid
A64425AMedicare ID - Type Unspecified