Provider Demographics
NPI:1073346557
Name:CHOW, KYUNG (NP-C)
Entity type:Individual
Prefix:MS
First Name:KYUNG
Middle Name:
Last Name:CHOW
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2851
Mailing Address - Country:US
Mailing Address - Phone:818-342-0793
Mailing Address - Fax:
Practice Address - Street 1:18370 BURBANK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2851
Practice Address - Country:US
Practice Address - Phone:818-342-0793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-21
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95193972163W00000X
CA95032294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse