Individual
JESSICA S CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
13768 ROSWELL AVE, SUITE #107, CHINO, CA 91710-1401
(909) 464-1401
(909) 464-1397
Mailing address
13768 ROSWELL AVE, SUITE #107, CHINO, CA 91710-1401
(909) 464-1401
(909) 464-1397
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4985
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1807
CA
Other
Enumeration date
10/26/2011
Last updated
05/07/2024
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