LAUREN NICOLE DATE-CHONG


Address: 174 Ravenhill Rd, Orinda, CA 94563-2725
Phone: 9259159918

LAUREN NICOLE DATE-CHONG (NPI# 1710518808) 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) 1710518808
Entity Type Individual
Full Name LAUREN NICOLE DATE-CHONG
Practice Address 174 Ravenhill Rd
Orinda
CA 94563-2725
Practice Telephone 9259159918
Mailing Telephone 9259159918
Enumeration Date 2020-01-28
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95013441 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 174 RAVENHILL RD
City ORINDA
State CA
Zip Code 94563-2725

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City ORINDA
Zip Code 94563

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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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