Chong, Lisa K.

Chong, Lisa K. is an individual health care provider with primary practice located at 600 N Mountain Ave A104, Upland CA 91786-4331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chong, Lisa K. can be contacted via phone (909) 931-1033.

Contact Information

Primary practice address
600 N Mountain Ave A104 Upland CA 91786-4331
Phone: (909) 931-1033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A90069 California

Profile Details

NPI number 1467539304
LBN Legal business name Chong, Lisa K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Dec 2nd, 2021 - about 3 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 1467539304 NPPES
California MEDICAID 00A900690

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