Individual
PHILIP (NONE) CHIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2840 LONG BEACH BLVD, SUITE 465, LONG BEACH, CA 90806-1516
(562) 595-0790
(562) 689-0078
Mailing address
17923 CECELIA PL, CERRITOS, CA 90703-8713
(949) 445-3778
(562) 689-0078
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A106763
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A106763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12302718
CAQH PROVIDER NUMBER
CA
01
—
A106763
MEDICAL BOARD PHYSICIAN LICENSE NUMBER
CA
Enumeration date
05/01/2008
Last updated
06/07/2015
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