Provider Demographics
NPI:1316963051
Name:CHIOU, MAX WEILUEN (MD)
Entity type:Individual
Prefix:DR
First Name:MAX
Middle Name:WEILUEN
Last Name:CHIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S GARFIELD AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3887
Mailing Address - Country:US
Mailing Address - Phone:626-573-9875
Mailing Address - Fax:
Practice Address - Street 1:320 S GARFIELD AVE
Practice Address - Street 2:STE 106
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3887
Practice Address - Country:US
Practice Address - Phone:626-573-9875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A506002Medicaid
CA00A506002Medicaid
DM089ZMedicare PIN
A50600Medicare PIN