Active NPI
Ilene Chong, D.C.
- Chiropractor
- Van Nuys, CA
National Provider Identifier
1326258377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24315
- Practice address
- 17607 Sherman Way Ste 202
Van Nuys, CA 91406-3500 - Phone
- (818) 881-1777
- Fax
- (818) 881-1778
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 24315 | CA | Primary |
Addresses
Primary practice location
17607 Sherman Way Ste 202
Van Nuys, CA 91406-3500
Mailing address
17607 Sherman Way Ste 202
Van Nuys, CA 91406-3500
Phone (818) 881-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24315 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326258377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17607 SHERMAN WAY STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063500",
"telephone_number": "818-881-1777",
"fax_number": "818-881-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17607 SHERMAN WAY STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063500",
"telephone_number": "818-881-1777",
"fax_number": "818-881-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "ILENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.