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Joyce H. Chong M.D. INC.

Preferred Provider Organization in Fullerton, CA. Organization (NPI-2).

NPI number1124258587
StatusActive
Last updated in NPPESMay 10, 2012

Details

NPI
1124258587
Entity type
Organization (NPI-2)
Legal business name
Joyce H. Chong M.D. INC.
Organization subpart
No
Enumeration date
Jul 20, 2009
Last updated
May 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider OrganizationC50783CAYes

Practice location

125 N. Euclid St
Fullerton, CA 92832-1618

Phone 714-773-1212 · Fax 714-773-9900

Mailing address

125 N. Euclid St
Fullerton, CA 92832-1618

Phone 714-773-1212 · Fax 714-773-9900

Authorized official

Joyce H Chong
C.E.O
7147731212

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