Provider Demographics
NPI:1427201433
Name:CHIONG, WINSTON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:
Last Name:CHIONG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:J.
Other - Middle Name:WINSTON
Other - Last Name:CHIONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:505 PARNASSUS AVE BOX 0114
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-1489
Mailing Address - Fax:415-476-3428
Practice Address - Street 1:505 PARNASSUS AVE BOX 0114
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-1489
Practice Address - Fax:415-476-3428
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1010242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology