Provider Demographics
NPI:1497842256
Name:CHHAY, HOR BORN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOR
Middle Name:BORN
Last Name:CHHAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 E ANAHEIM ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3906
Mailing Address - Country:US
Mailing Address - Phone:562-218-4298
Mailing Address - Fax:562-218-1480
Practice Address - Street 1:1862 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3906
Practice Address - Country:US
Practice Address - Phone:562-218-4298
Practice Address - Fax:562-218-1480
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56425208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0032550OtherACUPUNCTURE PRIVIDER
CA00A564250Medicaid
CA00A564250Medicaid
CAG40843Medicare UPIN