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Individual

BERNARD CHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PUEBLO AT BATH ST., SANTA BARBARA, CA 93105-4390
(805) 569-7279
(805) 569-8279
Mailing address
PO BOX 4219, ORANGE, CA 92863-4219
(714) 571-5000
(714) 571-5055

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
340111-01
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A82664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A826640
BLUE SHIELD OF CA
05
00A826640
CA
01
050396CH83504
TRAILBLAZER HEALTH ENTERP
01
P00142618
RAILROAD MEDICARE
Enumeration date
07/20/2005
Last updated
11/06/2025
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