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Individual
WOOK-CHIN CHONG
Active
Individual
WOOK-CHIN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C50789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C507890
BLUE SHIELD OF CA
CA
05
—
00C507890
—
CA
Enumeration date
05/16/2006
Last updated
11/27/2007
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