Chok P Wan MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHOK P WAN MD INC

Practice address

2153 Pacific Ave
Long Beach, CA 90806-4513

Phone

(562) 599-4833

Fax

(562) 599-6366

NPI assigned

Jan 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chok P WanNPI 1346346616

Title

President

Phone

(562) 599-4833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Chok P Wan MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chok P. Wan M.D., Inc.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1447345947
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chok Ping Wan, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1346346616
  Medicare reassignment Authorized official
• Charles Jung Chao Kwang, D.C.

  • Chiropractor
  • Arcadia, CA
  • NPI 1194756551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1336443548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6096",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908060096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064513",
            "telephone_number": "562-599-4833",
            "fax_number": "562-599-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOK P WAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "CHOK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-599-4833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices of Long Beach, Inc.
• Choices of Long Beach, Inc.
• Choices of Long Beach, Inc.
• Choices of Long Beach, Inc.
• Choices of Long Beach, Inc.
• Chok P. Wan M.D., Inc.
• Jena Renae Chomchavalit, LCSW
• Adrienne Chong
• Richard Taemoon Chong, AMFT
• Dianna Chooljian, MD PHD MPH

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.