David Chou, D.D.S.
Individual provider Active NPI General Practice Dentistry · La Puente, CA
NPI 1508069170 · NPPES record last updated Dec 11, 2011
Key facts
- NPI
- 1508069170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 41377 (CA)
- Practice address
- 1206 N Hacienda Blvd
La Puente, CA 91744-1630 - Phone
- (626) 917-8630
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41377 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Chou DDS America Dental Care | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 41377 | CA | Yes |
Addresses
Primary practice location
1206 N Hacienda Blvd
La Puente, CA 91744-1630
Mailing address
1206 N Hacienda Blvd
La Puente, CA 91744-1630
Phone (626) 917-8630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41377 | Other | CA | MEDI-CAL |
Other providers in La Puente, CA
- Tiffany CHI
- Joshua Chia
- Dooyong Choi
- Andrew G Chong
- Thomas Wan Chong
- Lin Liu Chou
- Citrus Valley Family Medical Clinic, Inc.
- Clinica Medica del Sol Group Inc
- Clinica Medica Mi Salud, Inc.
- Clinica Medica San Pedro of California Inc
All providers in La Puente, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.