Provider Demographics
NPI:1992260996
Name:HOU, CHIH-TAO (NP)
Entity type:Individual
Prefix:
First Name:CHIH-TAO
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20167 PADRINO AVE
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3625
Mailing Address - Country:US
Mailing Address - Phone:909-583-4552
Mailing Address - Fax:
Practice Address - Street 1:8700 WARNER AVE STE 270
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3212
Practice Address - Country:US
Practice Address - Phone:800-560-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2018076138363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily