OrganizationActive
Kwanho Chong, M.D., a Medical Corporation
NPI 1932400686 · Surgical Critical Care Physician · Simi Valley, CA
Provider details
- NPI number
- 1932400686
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kwanho Chong, President(805) 522-9018
- License
- G84968 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1158 Roadrunner Way
Simi Valley, CA 93065-3158
Phone: (805) 522-9018
Fax: (951) 272-9924
Approximate (ZIP-level) locationGet directions
Mailing address
1158 Roadrunner Way
Simi Valley, CA 93065-3158
Registry dates
- Enumerated
- 2010-11-11
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.