Chong, Marisa
Chong, Marisa is an individual health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Chong, Marisa can be contacted via phone (310) 325-5111.Contact Information
Primary practice address
25825 Vermont Ave
Harbor City CA 90710-3518
Phone: (310) 325-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NMW161 | California |
Profile Details
| NPI number | 1720136641 |
|---|---|
| LBN Legal business name | Chong, Marisa |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Sep 23rd, 2008 - about 18 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.
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