Chang Hun Chong, O.M.D
Individual provider Active NPI Acupuncturist · Dededo, GU
NPI 1104030188 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104030188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC3776 (CA)
- Practice address
- Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96929 - Phone
- (671) 637-4443
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC3776 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3776 | CA | Yes |
Addresses
Primary practice location
Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96929
Mailing address
P.O. Box 28585GMF Barrigada, Gu 96921
Suite 1C 2068 Loutus Building Route 16
Dededo, GU 96921
Phone (671) 637-4443
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.