Kwanho Chong, M.D., A Medical Corporation
LBN: Kwanho Chong, M.D., A Medical Corporation
Kwanho Chong, M.D., A Medical Corporation is an health care organization with primary practice located at 1158 Roadrunner Way , Simi Valley CA 93065-3158. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as the primary health care specialty.
Kwanho Chong, M.D., A Medical Corporation can be contacted via phone (805) 522-9018, or through Chong, Kwanho 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 / Surgical Critical Care | 2086S0102X | G84968 | California |
Profile Details
| NPI number | 1932400686 |
|---|---|
| LBN Legal business name | Kwanho Chong, M.D., A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Chong, Kwanho Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Feb 27th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932400686 | NPPES |
| California | MEDICAID | 00G849680 | |
| California | Other | G84968 |
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