Provider Demographics
NPI:1821529413
Name:KHOR, CHAI HONG
Entity Type:Individual
Prefix:
First Name:CHAI HONG
Middle Name:
Last Name:KHOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ATLANTIC BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3845
Mailing Address - Country:US
Mailing Address - Phone:626-300-9980
Mailing Address - Fax:626-300-9008
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:626-300-9008
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11726171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist