Provider Demographics
NPI:1487258901
Name:CHOW, ZACHARY (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ZACHARY
Other - Middle Name:
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:434 W DUARTE RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-4292
Mailing Address - Country:US
Mailing Address - Phone:626-215-1772
Mailing Address - Fax:
Practice Address - Street 1:36 W LIVE OAK AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8517
Practice Address - Country:US
Practice Address - Phone:626-899-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor