Provider Demographics
NPI:1871518605
Name:PING H CHOW MD CORPORATION
Entity type:Organization
Organization Name:PING H CHOW MD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PING
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-755-9108
Mailing Address - Street 1:PO BOX 1025
Mailing Address - Street 2:
Mailing Address - City:MOSS BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:94038-1025
Mailing Address - Country:US
Mailing Address - Phone:650-755-9108
Mailing Address - Fax:650-755-9109
Practice Address - Street 1:1500 SOUTHGATE AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2259
Practice Address - Country:US
Practice Address - Phone:650-755-9108
Practice Address - Fax:650-755-9109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA050759207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A507590Medicaid
CA00A507590Medicaid
CA00A507593Medicare ID - Type UnspecifiedMEDICARE GROUP #2
CAZZZ02339ZMedicare ID - Type UnspecifiedMEDICARE GRP ID
CAG15025Medicare UPIN