Provider Demographics
NPI:1245275288
Name:CHOW, PI-LIEH P (MD)
Entity type:Individual
Prefix:DR
First Name:PI-LIEH
Middle Name:P
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PETER
Other - Middle Name:P
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 635
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91793-0635
Mailing Address - Country:US
Mailing Address - Phone:626-813-9988
Mailing Address - Fax:626-813-0049
Practice Address - Street 1:1115 S SUNSET AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3940
Practice Address - Country:US
Practice Address - Phone:626-814-2473
Practice Address - Fax:626-814-2540
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC422312085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C422310OtherBCBS
CAP00411396OtherMEDICARE RR
CA00C422310Medicaid
CAWC42231FMedicare PIN
CAWC42231DMedicare PIN
CAA89131Medicare UPIN
CA00C422310OtherBCBS
CA00C422310Medicaid