Provider Demographics
NPI:1528727781
Name:CHIOU HSIAO, IRIS SOFIA
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:SOFIA
Last Name:CHIOU HSIAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 S HOLT AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3783
Mailing Address - Country:US
Mailing Address - Phone:626-353-8680
Mailing Address - Fax:
Practice Address - Street 1:1515 S HOLT AVE APT 301
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3783
Practice Address - Country:US
Practice Address - Phone:626-353-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT13865225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist