Summer Chong, MD
Dermatologist in Los Angeles, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 1701 E Cesar E Chavez Ave, Suite 100, Los Angeles, CA 90033
- Phone
- (323) 987-1362
- Listed under
- Individual clinicians
- NPI
- 1770803181
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- A120535 (CA)
- NPI first issued
- Jun 8, 2010
- Years since NPI first issued
- 16 years (since 2010)
- License state on NPI record
- CA
- NPI record last updated
- May 14, 2014
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2010 (16 years ago)
- Professional school (CMS)
- University of Southern California Keck School of Medicine
- Medicare group practice (CMS)
- Oahu Dermatology LLC (3 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
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