Provider Demographics
NPI:1164530697
Name:CHON, MICHAEL (DPT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:CHON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 ARTESIA BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6769
Mailing Address - Country:US
Mailing Address - Phone:562-461-9019
Mailing Address - Fax:562-461-9021
Practice Address - Street 1:10230 ARTESIA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6769
Practice Address - Country:US
Practice Address - Phone:562-461-9019
Practice Address - Fax:562-461-9021
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2023-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27683225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT27683DMedicare PIN
CAWPT27683GMedicare PIN
CAWPT27683KMedicare PIN