Provider Demographics
NPI:1306027552
Name:CHOONG Y WEE M.D., INC.
Entity Type:Organization
Organization Name:CHOONG Y WEE M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHOONG
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-424-3100
Mailing Address - Street 1:2690 PACIFIC AVE
Mailing Address - Street 2:SUITE 250A
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2657
Mailing Address - Country:US
Mailing Address - Phone:562-424-3100
Mailing Address - Fax:562-595-0953
Practice Address - Street 1:2690 PACIFIC AVE
Practice Address - Street 2:SUITE 250A
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2657
Practice Address - Country:US
Practice Address - Phone:562-424-3100
Practice Address - Fax:562-595-0953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C398000Medicaid
CAC39800Medicare PIN
CAA88135Medicare UPIN