Provider Demographics
NPI:1588819775
Name:CHONG, PEARLINE P (DO)
Entity type:Individual
Prefix:
First Name:PEARLINE
Middle Name:P
Last Name:CHONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8528 ARCADIA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-1102
Mailing Address - Country:US
Mailing Address - Phone:323-405-7533
Mailing Address - Fax:
Practice Address - Street 1:701 S ATLANTIC BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3845
Practice Address - Country:US
Practice Address - Phone:626-300-9980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine