Chon, Kenneth S
Chon, Kenneth S is an individual health care provider with primary practice located at 36320 Inland Valley Dr Ste 101, Wildomar CA 92595-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chon, Kenneth S can be contacted via phone (951) 600-3811.Contact Information
Primary practice address
36320 Inland Valley Dr Ste 101
Wildomar CA 92595-7512
Phone: (951) 600-3811
Fax: (951) 600-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G85088 | California |
Profile Details
| NPI number | 1306898721 |
|---|---|
| LBN Legal business name | Chon, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Oct 2nd, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306898721 | NPPES |
| California | MEDICAID | 00G850880 |
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