Provider Demographics
NPI:1942218524
Name:UPTON, JANICE CHOW (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:CHOW
Last Name:UPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8008 FROST ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4205
Mailing Address - Country:US
Mailing Address - Phone:858-279-5599
Mailing Address - Fax:858-279-5848
Practice Address - Street 1:8008 FROST ST
Practice Address - Street 2:SUITE 406
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4205
Practice Address - Country:US
Practice Address - Phone:858-279-5599
Practice Address - Fax:858-279-5848
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA82360208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A823600Medicaid
I06517Medicare UPIN
CA00A823600Medicaid