Chong, Roberto

Chong, Roberto is an individual health care provider with primary practice located at 395 Hickey Blvd , Daly City CA 94015-2770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chong, Roberto can be contacted via phone (650) 742-2000.

Contact Information

Primary practice address
395 Hickey Blvd Daly City CA 94015-2770
Phone: (650) 742-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A64501 California

Profile Details

NPI number 1447338058
LBN Legal business name Chong, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 13th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447338058 NPPES
California MEDICAID 00A645010

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