Individual
DR. KEN B CHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8522 PAINTER AVE, WHITTIER, CA 90602-3335
(562) 698-6266
(562) 945-4530
Mailing address
8522 PAINTER AVE, WHITTIER, CA 90602-3335
(562) 698-6266
(562) 945-4530
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A38969
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
A38969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447398300
NPI GROUP #
CA
01
—
1750463014
GROUP NPI
CA
01
—
202921026
TAX ID#
CA
01
—
A38969
STATE LICENSE
CA
01
—
GR0102180
MEDI-CAL
CA
Enumeration date
02/02/2007
Last updated
06/22/2009
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