Individual
DR. SUMMER PUANANI CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE 100, LOS ANGELES, CA 90033-2464
(323) 987-1362
Mailing address
1701 E CESAR E CHAVEZ AVE, SUITE 510, LOS ANGELES, CA 90033-2464
(323) 987-1362
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A120535
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2010
Last updated
05/14/2014
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