| Doctor Name: | CANY TAN CHONG |
| NPI Number: | 1013212372 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 762 W. Cypress St. San Dimas, CA - 91773 |
| Business Phone Number: | 9095991227 |
| Business Fax Number: | |
| Mailing Address: | 762 W. Cypress St., SAN DIMAS |
| State: | CA |
| Postal Code: | 91773 |
| Phone Number: | 9095991227 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2011 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |