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Organization
LAVINIA K. CHONG, M.D., INC.
Active
Organization
LAVINIA K. CHONG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVINIA KAREN CHONG M.D. (CHIEF MEDICAL OFFICER)
(949) 644-1400
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 803, NEWPORT BEACH, CA 92660-7720
(949) 644-1400
(949) 644-5988
Mailing address
1401 AVOCADO AVE, SUITE 803, NEWPORT BEACH, CA 92660-7720
(949) 644-1400
(949) 644-5988
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G68371
CA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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