Chiong, Desmond B.

Chiong, Desmond B. is an sole proprietor health care provider with primary practice located at 1455 San Marino Ave Suite A, San Marino CA 91108-2033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chiong, Desmond B. can be contacted via phone (626) 577-9010.

Contact Information

Primary practice address
1455 San Marino Ave Suite A San Marino CA 91108-2033
Phone: (626) 577-9010
Fax: (626) 577-9129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A31577 California
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X A31577 California

Profile Details

NPI number 1245328897
LBN Legal business name Chiong, Desmond B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245328897 NPPES
California MEDICAID 00A315771
California Other W2983B
California Other WA31577A

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