Individual
IAN CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A131902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A131902
THE MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
04/19/2013
Last updated
11/09/2021
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