Individual
DR. TIMOTHY DANIEL CHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16466 BERNARDO CENTER DR, SUITE 150, SAN DIEGO, CA 92128-2508
(858) 453-7700
(858) 798-1225
Mailing address
PO BOX 501724, SAN DIEGO, CA 92150-1724
(858) 453-7700
(858) 798-1225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MDR-5065
HI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A103353
CA
Other
Enumeration date
06/24/2007
Last updated
04/04/2016
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