| Mee-jin Chong, M.d., Professional Corporation | |
|
1828 Mt Diablo Blvd Suite B Walnut Creek CA 94596-4410 | |
| (925) 932-8820 | |
| (925) 932-8938 |
| Full Name | Mee-jin Chong, M.d., Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1828 Mt Diablo Blvd, Walnut Creek, California |
| Authorized Official Name and Position | Mee-jin Chong (PRESIDENT) |
| Authorized Official Contact | 9259328820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mee-jin Chong, M.d., Professional Corporation 1828 Mt Diablo Blvd Suite B Walnut Creek CA 94596-4410 Ph: (925) 932-8820 | Mee-jin Chong, M.d., Professional Corporation 1828 Mt Diablo Blvd Suite B Walnut Creek CA 94596-4410 Ph: (925) 932-8820 |
| NPI Number | 1891095550 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 06/01/2012 |
| Medicare PECOS PAC ID | 7911192794 |
|---|---|
| Medicare Enrollment ID | O20101108000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891095550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A485210 (California) | Primary |
| Provider Name | Mee-jin Chong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407994072 PECOS PAC ID: 5698960375 Enrollment ID: I20101108000566 |
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