| Chong H Rha Dds Inc | |
|
14229 E Imperial Hwy La Mirada CA 90638-1941 | |
| (562) 777-1725 | |
| (562) 777-7077 |
| Full Name | Chong H Rha Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 14229 E Imperial Hwy, La Mirada, California |
| Authorized Official Name and Position | Chong Hon Rha (PRESIDENT) |
| Authorized Official Contact | 5627771725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chong H Rha Dds Inc 14229 E Imperial Hwy La Mirada CA 90638-1941 Ph: (562) 777-1725 | Chong H Rha Dds Inc 14229 E Imperial Hwy La Mirada CA 90638-1941 Ph: (562) 777-1725 |
| NPI Number | 1245380427 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355710294 |
|---|---|
| Medicare Enrollment ID | O20221215000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245380427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40300 (California) | Primary |
| Provider Name | Chong H Rha |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245406479 PECOS PAC ID: 9739483314 Enrollment ID: I20221220001415 |
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