Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 38508 | CA |
NPI | 1053489419 |
---|---|
Provider Name | Dr. Thomas Lee Chou |
First Address | Milpitas, CA 95035-5453 |
Second Address | Milpitas, CA 95035-5453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/07/2007 |