Chong, Kwan H
Chong, Kwan H is an sole proprietor health care provider with primary practice located at 1158 Roadrunner Way , Simi Valley CA 93065-3158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chong, Kwan H can be contacted via phone (805) 522-9018.Contact Information
Primary practice address
1158 Roadrunner Way
Simi Valley CA 93065-3158
Phone: (805) 522-9018
Fax: (951) 272-9924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G84968 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G84968 | California |
Profile Details
| NPI number | 1093812133 |
|---|---|
| LBN Legal business name | Chong, Kwan H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 27th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093812133 | NPPES |
| California | MEDICAID | 00G849680 |
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