Individual provider · NPI-1
Edmund Chong, MD
Otolaryngology · Oakland, CA
NPI number1730267899
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1730267899
- Entity type
- Individual (NPI-1)
- Name
- Edmund Chong
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | G45507 | CA | Yes |
Practice location
275 W MacarthurOakland, CA 94611-5641
Phone 510-752-1000
Mailing address
275 W MacarthurOakland, CA 94611-5641
Phone 510-752-1000
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