DR. PENNY JEAN CHONG (NPI# 1093937112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093937112 |
| Entity Type | Individual |
| Full Name | DR. PENNY JEAN CHONG |
| Credential | M.D. |
| Practice Address |
29525 Canwood St Suite 205 Agoura Hills CA 91301-4233 |
| Practice Telephone | 8187815195 |
| Mailing Telephone | 8187815195 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G53507 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710958665 | Penny M Chong | Pediatrics | 2475 Mcclellan Ave, Suite B201, Pennsauken, NJ 08109 | 2006-01-30 |
| Street Address |
29525 CANWOOD ST SUITE 205 |
| City | AGOURA HILLS |
| State | CA |
| Zip Code | 91301-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760621 | Michael S Shore | Chiropractor | 29525 Canwood St, Ste 204, Agoura Hills, CA 91301-4231 | 2005-06-15 |
| 1437546454 | Richelle Bart | Behavioral Analyst | 29525 Canwood St, Suite 303, Agoura Hills, CA 91301-4233 | 2015-04-16 |
| 1770978447 | Diane Kenney | Pharmacist | 29525 Canwood St, Agoura Hills, CA 91301-4233 | 2015-03-31 |
| 1679813471 | Zak Dental Corp | Dentist | 29525 Canwood St, Suite 200, Agoura Hills, CA 91301-4233 | 2013-02-15 |
| 1487924379 | Bente Berman Md Inc | Dermatology | 29525 Canwood St, Suite 219, Agoura Hills, CA 91301-4233 | 2012-01-09 |
| 1922397272 | Aimee E. Anderson, Ph.d. A Professional Psychology Corporation | Early Intervention Provider Agency | 29525 Canwood St, Suite 303, Agoura Hills, CA 91301-4233 | 2011-04-06 |
| 1407156219 | Shohreh Selki | Dentist | 29525 Canwood St, Suite 201, Agoura Hills, CA 91301-4233 | 2010-10-26 |
| 1497987960 | Angela Chen | Chiropractor | 29525 Canwood St, Suite 204, Agoura Hills, CA 91301-4233 | 2009-08-18 |
| 1740414101 | Kathleen Deisinger | Physical Therapist | 29525 Canwood St, Suite 202, Agoura Hills, CA 91301-4233 | 2009-05-13 |
| 1710145164 | Orion Medical Group | Internal Medicine | 29525 Canwood St, Suite 205, Agoura Hills, CA 91301-4233 | 2008-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
| 1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
| 1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
| 1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
| 1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
| 1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
| 1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
| 1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
| 1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
| 1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
| Find all providers in zip 91301 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804572 | Shariar Cohen Md Corp | Internal Medicine | 566 Saint Charles Dr, Thousand Oaks, CA 91360-3953 | 2020-09-01 |
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1124596556 | Arthritis and Rheumatic Care Clinic, Inc. | Internal Medicine | 1401 N Palm Canyon Dr Ste 103, Palm Springs, CA 92262-4434 | 2018-11-03 |
| 1235629338 | Carewell Medical Group Inc | Internal Medicine | 18419 Us Highway 18 Ste 1, Apple Valley, CA 92307-2333 | 2018-05-14 |
| 1336641992 | Prohealth Partners A Medical Group | Internal Medicine | 26700 Towne Centre Dr Ste 165, Foothill Ranch, CA 92610-2845 | 2018-02-28 |
| 1699291765 | Peter James Lloyd Md Inc | Internal Medicine | 2251 Montgomery Ave, Cardiff, CA 92007-1913 | 2017-08-20 |
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| Find all providers with the same taxonomy | ||||
| City | AGOURA HILLS |
| Zip Code | 91301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.