Individual
DR. DESMOND B. CHIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1455 SAN MARINO AVE, SUITE A, SAN MARINO, CA 91108-2033
(626) 577-9010
(626) 577-9129
Mailing address
1455 SAN MARINO AVE, SUITE A, SAN MARINO, CA 91108-2033
(626) 577-9010
(626) 577-9129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A31577
CA
2084P0805X
Geriatric Psychiatry Physician
Primary
A31577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A315771
—
CA
01
—
W2983B
GROUP MEDICARE NUMBER
CA
01
—
WA31577A
PPIN
CA
Enumeration date
10/10/2006
Last updated
09/11/2025
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