Individual
LAWRENCE P CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7677 CENTER AVE, SUITE 400, HUNTINGTON BEACH, CA 92647-3074
(714) 901-7777
(714) 901-7770
Mailing address
7677 CENTER AVE, SUITE 400, HUNTINGTON BEACH, CA 92647-3074
(714) 901-7777
(714) 901-7770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G48435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G484350
BLUE SHIELD
CA
05
—
00G484350
—
CA
Enumeration date
12/15/2006
Last updated
03/14/2012
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