Provider Demographics
NPI:1003143579
Name:CANIPE, CHONG SUK
Entity Type:Individual
Prefix:MRS
First Name:CHONG
Middle Name:SUK
Last Name:CANIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W FRANKLIN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2736
Mailing Address - Country:US
Mailing Address - Phone:831-656-9203
Mailing Address - Fax:831-656-9204
Practice Address - Street 1:215 W FRANKLIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2736
Practice Address - Country:US
Practice Address - Phone:831-656-9203
Practice Address - Fax:831-656-9204
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health