Chung, Peter Kai-Wong

Chung, Peter Kai-Wong is an individual health care provider with primary practice located at 1470 Halford Ave # 168, Santa Clara CA 95051-3205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chung, Peter Kai-Wong can be contacted via phone (408) 247-0099.

Contact Information

Primary practice address
1470 Halford Ave # 168 Santa Clara CA 95051-3205
Phone: (408) 247-0099
Fax: (408) 556-6773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6376 California

Profile Details

NPI number 1720083694
LBN Legal business name Chung, Peter Kai-Wong
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 8th, 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 1720083694 NPPES
California MEDICAID 00AX63760

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