Provider Demographics
NPI:1871666248
Name:CHOW, NORMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DARDANELLI LN
Mailing Address - Street 2:#10B
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1440
Mailing Address - Country:US
Mailing Address - Phone:408-866-4576
Mailing Address - Fax:408-866-1486
Practice Address - Street 1:320 DARDANELLI LN
Practice Address - Street 2:#10B
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1440
Practice Address - Country:US
Practice Address - Phone:408-866-4576
Practice Address - Fax:408-866-1486
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX58151Medicaid
CA020A58150Medicare ID - Type Unspecified
CAE84625Medicare UPIN