JOYCE H. CHONG M.D. INC.


Address: 125 N. Euclid St, Fullerton, CA 92832-1618
Phone: 7147731212

JOYCE H. CHONG M.D. INC. (NPI# 1124258587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124258587
Entity Type Organization
Organization Name JOYCE H. CHONG M.D. INC.
Practice Address 125 N. Euclid St
Fullerton
CA 92832-1618
Practice Telephone 7147731212
Practice Fax Number 7147739900
Mailing Telephone 7147731212
Mailing Fax Number 7147739900
Enumeration Date 2009-07-20
Last Update Date 2012-05-10
Authorized Official Name DR. JOYCE H CHONG (C.E.O)
Authorized Official Telephone 7147731212
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization C50783 CA Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C507830 05
CA CAQH 11672399 01
CA UPIN G13192 01

Office Location

Street Address 125 N. EUCLID ST
City FULLERTON
State CA
Zip Code 92832-1618

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1275090193 Madison Elizabeth Miller Behavior Technician 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-02-27
1528525862 Samantha Rivas Behavior Technician 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 2019-02-22
1760948483 Marcus Gerard Chavez Behavioral Analyst 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 2019-02-19
1710443437 Rolando Jimenez Behavior Technician 713 W. Commonwealth, Suite A, La Habra, CA 92832 2019-02-18
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

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NPI Name Taxonomy Address Enumeration
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1548697311 Theodore Pastrana Md., Apc Preferred Provider Organization 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 2013-10-10

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Competitor

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City FULLERTON
Zip Code 92832

Improve Information

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Dataset Information

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.

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