# LAVINIA K. CHONG, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134482177
- **Authorized official:** DR. LAVINIA KAREN CHONG M.D. (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (949) 644-1400

## Contact information

- **Practice address:** 1401 AVOCADO AVE, SUITE 803, NEWPORT BEACH, CA 92660-7720
- **Practice address phone:** (949) 644-1400
- **Practice address fax:** (949) 644-5988
- **Mailing address:** 1401 AVOCADO AVE, SUITE 803, NEWPORT BEACH, CA 92660-7720
- **Mailing address phone:** (949) 644-1400
- **Mailing address fax:** (949) 644-5988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G68371 | CA | Yes |

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 06/22/2012