# NATSURANG CHONG CORPORATION

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

## Provider details

- **NPI number:** 1295375079
- **Authorized official:** NATSURANG CHONGKRAIRATANAKUL MD (PRESIDENT)
- **Authorized official phone:** (619) 794-2521

## Contact information

- **Practice address:** 7901 FROST ST, SAN DIEGO, CA 92123-2701
- **Practice address phone:** (619) 794-2521
- **Practice address fax:** (858) 483-1918
- **Mailing address:** PO BOX 881609, SAN DIEGO, CA 92168-1609
- **Mailing address phone:** (619) 794-2521
- **Mailing address fax:** (858) 483-1918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 01/09/2020