Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 14560 | CA |
N | 152W00000X | Optometrist | TUV007857 | NY |
NPI | 1013270586 |
---|---|
Provider Name | Dr. Jeffrey M Chou |
First Address | City Of Industry, CA 91746-3237 |
Second Address | City Of Industry, CA 91746-3237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 14/02/2022 |