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Individual

JOYCE HAEKYOUNG CHONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 N EUCLID ST, FULLERTON, CA 92832-1618
(714) 773-1212
(714) 773-9900
Mailing address
125 N EUCLID ST, FULLERTON, CA 92832-1618
(714) 773-1212
(714) 773-9900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25898
KS
208000000X
Pediatrics Physician
Primary
C50783
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040125
BCBS
KS
05
100177710A
KS
01
100667
HPK
KS
01
12149507
MULTIPLAN
KS
01
16943
COVENTRY
KS
01
4310
PHS
KS
Enumeration date
06/25/2006
Last updated
05/25/2012
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