KWANHO CHONG, M.D., A MEDICAL CORPORATION
NPI 1932400686
Surgery - Surgical Critical Care in Simi Valley, CA

Active since November 11, 2010
1158 ROADRUNNER WAY, SIMI VALLEY, CA 93065(805) 522-9018(951) 272-9924 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kwanho Chong, M.d., A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KWANHO CHONG, M.D., A MEDICAL CORPORATION (NPI 1932400686) is a healthcare organization registered as a surgical critical care in Simi Valley, California and active in the NPI registry since November 2010. The organization lists Kwanho Chong, President, as its authorized official.

NPPES Registry Identity

NPI1932400686
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameKWANHO CHONG, M.D., A MEDICAL CORPORATION
Location Address1158 ROADRUNNER WAYSimi Valley, CA 93065-3158
Mailing Address1158 Roadrunner WaySimi Valley, CA 93065-3158 · (805) 522-9018 · Fax (951) 272-9924
Fax(951) 272-9924
Organization SubpartNo
Authorized OfficialKwanho ChongPresident · (805) 522-9018
Enumeration DateNovember 11, 2010
Last NPPES UpdateFebruary 27, 2012
NPI 1932400686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in CA · G84968
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1158 ROADRUNNER WAY, Simi Valley, CA 93065

Other Identifiers 4

OtherG84968CA · Ca Medical License
Medicaid00G849680CA
Medicare PING84968CA
Medicare UPINF29047CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kwanho Chong, M.D., A Medical Corporation's NPI number?

The NPI number for Kwanho Chong, M.D., A Medical Corporation is 1932400686. It was assigned to this organization in the NPPES registry on November 11, 2010.

Where is Kwanho Chong, M.D., A Medical Corporation located?

Kwanho Chong, M.D., A Medical Corporation is located at 1158 Roadrunner Way, Simi Valley, CA 93065. The listed phone number is (805) 522-9018.

What is Kwanho Chong, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Kwanho Chong, M.D., A Medical Corporation was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.