Provider Demographics
NPI:1245406479
Name:RHA, CHONG HON (D D S)
Entity Type:Individual
Prefix:DR
First Name:CHONG
Middle Name:HON
Last Name:RHA
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14229 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-1941
Mailing Address - Country:US
Mailing Address - Phone:562-777-1725
Mailing Address - Fax:562-777-7077
Practice Address - Street 1:14229 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1941
Practice Address - Country:US
Practice Address - Phone:562-777-1725
Practice Address - Fax:562-777-7077
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD403001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice