Chong, Ilsong Jason

Chong, Ilsong Jason is an individual health care provider with primary practice located at 605 Crouch St Bldg C , Oceanside CA 92054-4415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Chong, Ilsong Jason can be contacted via phone (760) 736-6767.

Contact Information

Primary practice address
605 Crouch St Bldg C Oceanside CA 92054-4415
Phone: (760) 736-6767
Fax: (760) 736-8740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X K4025 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X C152937 California

Profile Details

NPI number 1831240159
LBN Legal business name Chong, Ilsong Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Mar 17th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831240159 NPPES
Texas Other 0089HL BLUECROSS BLUESHIELD
Texas MEDICAID 047274802 BLUECROSS BLUESHIELD

Popular Providers