Rainbow Chung-ou, Md, A Professional Corporation | |
4195 Chino Hills Pkwy Ste H Chino Hills CA 91709-2618 | |
(909) 597-7817 | |
(909) 597-7984 |
Full Name | Rainbow Chung-ou, Md, A Professional Corporation |
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Speciality | Family Medicine |
Location | 4195 Chino Hills Pkwy Ste H, Chino Hills, California |
Authorized Official Name and Position | Rainbow Chung-ou (OWNER) |
Authorized Official Contact | 9095977817 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rainbow Chung-ou, Md, A Professional Corporation 4195 Chino Hills Pkwy Ste H Chino Hills CA 91709-2618 Ph: (909) 597-7817 | Rainbow Chung-ou, Md, A Professional Corporation 4195 Chino Hills Pkwy Ste H Chino Hills CA 91709-2618 Ph: (909) 597-7817 |
NPI Number | 1811640980 |
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Provider Enumeration Date | 01/30/2022 |
Last Update Date | 01/30/2022 |
Medicare PECOS PAC ID | 0345634507 |
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Medicare Enrollment ID | O20220303002356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811640980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rainbow Chung-ou |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811282650 PECOS PAC ID: 7911125984 Enrollment ID: I20140904001827 |
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