Provider Demographics
NPI:1538240387
Name:CHIU, MING HOU (PT, DPT)
Entity type:Individual
Prefix:
First Name:MING
Middle Name:HOU
Last Name:CHIU
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DEVON CT
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6062
Mailing Address - Country:US
Mailing Address - Phone:949-981-4688
Mailing Address - Fax:
Practice Address - Street 1:16271 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-4102
Practice Address - Country:US
Practice Address - Phone:714-375-1755
Practice Address - Fax:714-375-1757
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27802225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
20218609892211A004OtherTRICARE TRIWEST
0PT278020OtherMOTION PICTURE INDUSTRY
0PT278020OtherBLUE SHIELD OF CALIFORNIA
20218609892211A004OtherTRICARE TRIWEST
CA0PT278020Medicare PIN