Doctor Name: | CINDY CHON |
NPI Number: | 1003232794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 60451438 |
Business Practice Address: | 403 E Meeker St Kent, WA - 980305904 |
Business Phone Number: | 2538522866 |
Business Fax Number: | |
Mailing Address: | 12 Alcoba, IRVINE |
State: | CA |
Postal Code: | 926148424 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 60451438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |