Provider Demographics
NPI:1730448101
Name:CHOU, BILL (DO)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:
Last Name:CHOU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2410 FIRE MESA ST STE 180
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9017
Mailing Address - Country:US
Mailing Address - Phone:702-992-6888
Mailing Address - Fax:702-992-6880
Practice Address - Street 1:3544 30TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-4120
Practice Address - Country:US
Practice Address - Phone:619-515-2300
Practice Address - Fax:619-269-0674
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14794207QS0010X
NVDO1968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty