| Chow Medical Clinic, Inc. | |
|
817 S Vermont Ave Los Angeles CA 90005-1522 | |
| (213) 385-0029 | |
| (213) 385-5619 |
| Full Name | Chow Medical Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 817 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Bruce Chow (PRESIDENT) |
| Authorized Official Contact | 2133850029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chow Medical Clinic, Inc. 817 S Vermont Ave Los Angeles CA 90005-1522 Ph: (213) 385-0029 | Chow Medical Clinic, Inc. 817 S Vermont Ave Los Angeles CA 90005-1522 Ph: (213) 385-0029 |
| NPI Number | 1053771394 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 5395035919 |
|---|---|
| Medicare Enrollment ID | O20160609000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053771394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A7057 (California) | Primary |
| Provider Name | Bruce W Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013913441 PECOS PAC ID: 4880591502 Enrollment ID: I20031218000866 |
| Provider Name | Thick G Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447282876 PECOS PAC ID: 3274601588 Enrollment ID: I20091112000158 |
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