institution
Lavinia K. Chong, M.d., Inc.
Ambulatory Surgical Clinic/Center in Newport Beach, California
NPI 1134482177

Lavinia K. Chong, M.d., Inc. is an Ambulatory Surgical Clinic/Center based in Newport Beach, CA and is specialized in Ambulatory Surgical. Lavinia K. Chong, M.d., Inc. practices in Newport Beach, CA. The NPI Number for Lavinia K. Chong, M.d., Inc. is 1134482177 and holds a License No. G68371 (California).

The current practice location address for Lavinia K. Chong, M.d., Inc. is 1401 Avocado Ave, Newport Beach, CA and can be reached out via phone at 949-644-1400 and via fax at 949-644-5988.

Location: 1401 Avocado Ave, Newport Beach, CA, 92660-7720
institution
Provider Profile Details
NPI Number
1134482177
Provider Name
Lavinia K. Chong, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
1401 Avocado Ave, Newport Beach, CA, 92660-7720
Phone Number
949-644-1400
Fax Number
949-644-5988
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588779227 01 CA MEDICARE (INDIVIDUAL) NPI
G68371 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
1401 Avocado Ave
City
State
Zip
92660-7720
Phone Number
949-644-1400
Fax Number
949-644-5988
person
Provider Business Mailing Address Details
Address
1401 Avocado Ave
City
State
Zip
92660-7720
Phone Number
949-644-1400
Fax Number
949-644-5988
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
G68371 (California)
Definition
Definition to come...
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