Provider Demographics
NPI:1942306345
Name:CHOU, MICHAEL CHIH-HSUAN (DC, DPT, CCSP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:CHIH-HSUAN
Last Name:CHOU
Suffix:
Gender:M
Credentials:DC, DPT, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20905 GOLDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3806
Mailing Address - Country:US
Mailing Address - Phone:530-318-2467
Mailing Address - Fax:
Practice Address - Street 1:17018 COLIMA RD APT 63
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6734
Practice Address - Country:US
Practice Address - Phone:530-318-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2015-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30305111N00000X
CAPT37454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor