Provider Demographics
NPI:1124271705
Name:CHIOU & KENDALL MEDICAL CORPORATION
Entity type:Organization
Organization Name:CHIOU & KENDALL MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMY
Authorized Official - Middle Name:YU-SHANG
Authorized Official - Last Name:CHIOU
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:949-244-0977
Mailing Address - Street 1:1835 NEWPORT BLVD A109 #372
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-5007
Mailing Address - Country:US
Mailing Address - Phone:949-244-0977
Mailing Address - Fax:949-257-0596
Practice Address - Street 1:1 HOAG DR. 3 NORTH #64
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-764-1871
Practice Address - Fax:949-764-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty