Individual
DR. MARIO CHIH-HSIUNG KARL DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLAZA DRIVEWAY, STE. 365C, LOS ANGELES, CA 90095-0001
(310) 794-2727
(310) 794-0011
Mailing address
10833 LE CONTE AVE, A2-237 CHS, LOS ANGELES, CA 90095-3075
(310) 825-5158
(310) 206-9133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218687
NY
207RC0000X
Cardiovascular Disease Physician
Primary
F5704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097529
—
NY
05
—
1174609614
—
CA
Enumeration date
10/27/2006
Last updated
04/03/2012
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