KELVIN CHOU DDS INC NPI 1093558819

NPI Information

  • NPI: 1093558819
  • Provider Name: KELVIN CHOU DDS, INC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 6235 LUSK BLVD
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 558-3636

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NPI Details

KELVIN CHOU DDS, INC is an endodontics dentist in San Diego, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. KELVIN CHOU DDS, INC NPI is 1093558819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6235 LUSK BLVD
SAN DIEGO, CA
ZIP 92121-731
Phone: (858) 558-3636

The provider's authorized official is Kelvin Chou .
The authorized official title is Owner Dentist and has the following contact phone number (858) 558-3636.

The enumeration date for this NPI number is 6/18/2024 and was last updated on 6/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes
21223G0001XDentistGeneral PracticeNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102140OTHERCALIFORNIADENTAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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