Individual
DR. ANDREW G CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1641 N HACIENDA BLVD, LA PUENTE, CA 91744-1137
(626) 918-1407
(626) 918-2069
Mailing address
1641 N HACIENDA BLVD, LA PUENTE, CA 91744-1137
(626) 918-1407
(626) 918-2069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA7758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0077580
—
CA
Enumeration date
12/19/2006
Last updated
07/09/2007
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