Organization
GERIDOCS MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN CHINPIN CHOU MD (PRESIDENT)
(714) 662-2256
Entity
Organization
Contact information
Practice address
2621 S BRISTOL ST STE 203, SANTA ANA, CA 92704-5700
(714) 662-2256
(714) 662-0178
Mailing address
2621 S BRISTOL ST STE 203, SANTA ANA, CA 92704-5700
(714) 662-2256
(714) 662-0178
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A36505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093350
—
CA
Enumeration date
09/21/2006
Last updated
08/22/2020
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