AMARIN KONGCHALALAI


Address: 9655 Monte Vista Ave, #402, Montclair, CA 91763
Phone: 9096261205

AMARIN KONGCHALALAI (NPI# 1649376534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649376534
Entity Type Individual
Full Name AMARIN KONGCHALALAI
Credential MD
Practice Address 9655 Monte Vista Ave
#402
Montclair
CA 91763
Practice Telephone 9096261205
Practice Fax Number 9096251977
Mailing Telephone 9096261205
Mailing Fax Number 9096251977
Enumeration Date 2006-09-16
Last Update Date 2009-04-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
A67705 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A677050 05

Office Location

Street Address 9655 MONTE VISTA AVE
#402
City MONTCLAIR
State CA
Zip Code 91763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750376190 Asoka Jayaweera Internal Medicine 9655 Monte Vista Ave, Suite 407, Montclair, CA 91763-2238 2005-09-12
1669615902 Rick Siriratsivawong Internal Medicine 9655 Monte Vista Ave, Suite 402, Montclair, CA 91763-2238 2009-04-16
1841430535 Grobler Enterprises Inc Internal Medicine 9655 Monte Vista Ave, Ste 402, Montclair, CA 91763-2238 2009-02-20
1073632261 Inland Pulmonary Medical Group Family Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763 2007-03-28
1700945581 Ni Mei Acupuncturist 9655 Monte Vista Ave, Suite 408, Montclair, CA 91763-2238 2006-12-07
1720154255 Nicolaas Martin Grobler Jr. Internal Medicine 9655 Monte Vista Ave, Suite 402, Montclair, CA 91763-2238 2006-11-27
1972689545 Frank J.y. Hsu Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763 2006-10-27
1144315839 Gene S Hong Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763 2006-10-04
1871692848 Yousef Dehghani Internal Medicine 9655 Monte Vista Ave, #405, Montclair, CA 91763 2006-09-22
1053417808 Elbert Kc Chang Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763-2238 2006-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194335760 Cho Jeon Yun Dental Partnership Dentist 9655 Monte Vista Ave #406, Montclair, CA 91763 2020-08-07
1215498811 Above Urgent Care Center Emergency Medicine 8891 N. Central Ave Ste A, Montclair, CA 91763 2019-03-27
1467936906 Bronislava Kroulik Behavior Technician 4950 San Bernardino St Ste 101, Montclair, CA 91763 2018-09-20
1063936110 Monique Karina Enriquez Licensed Vocational Nurse 5580 Moreno St #82, Montclair, CA 91763 2017-07-31
1972961159 Lacy Pinsky Specialist/Technologist 5035 Flora St., Montclair, CA 91763 2016-02-03
1912333790 Cinta Hospice Care Inc Hospice Care, Community Based 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 2013-09-24
1720334626 Priority One Hospice, Inc. Hospice Care, Community Based 4959 Palo Verde St Ste 107c, Montclair, CA 91763 2012-07-28
1689982498 Paulina Trujillo Perez Counselor 9916 Central Ave., Montclair, CA 91763 2010-09-15
1982846499 Esther Phillips Agepogu Physician Assistant 9301 Central Ave., Montclair, CA 91763 2009-03-30
1568633139 Mahin Nosrati-jahromi Dentist 9509 Central Ave #d, Montclair, CA 91763 2008-03-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801163738 Lopa M Patel, LLC Internal Medicine 160 Walnut St, Montclair, NJ 07042-3802 2011-11-21
1710206024 John Kim Internal Medicine 9655 Monte Vista Ave Ste 402, Montclair, CA 91763 2010-05-26
1669615902 Rick Siriratsivawong Internal Medicine 9655 Monte Vista Ave, Suite 402, Montclair, CA 91763-2238 2009-04-16
1467634345 Alan J Klukowicz Md Pa Internal Medicine 62 S Fullerton Ave, Montclair, NJ 07042-2629 2007-12-03
1972689545 Frank J.y. Hsu Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763 2006-10-27
1144315839 Gene S Hong Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763 2006-10-04
1053417808 Elbert Kc Chang Internal Medicine 9655 Monte Vista Ave, #402, Montclair, CA 91763-2238 2006-09-16
1912959685 Alan J Klukowicz Internal Medicine 62 S Fullerton Ave, Montclair, NJ 07042-2629 2006-05-17

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1184221137 Newport Superior Medical & Infusion Inc Internal Medicine 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 2020-10-02
1205472339 Christian Gronbeck IIi Internal Medicine 37 E Mission Ave, San Rafael, CA 94901-4208 2019-11-25
1497304497 Ralph Zitnik Internal Medicine 606 E Valerio St, Santa Barbara, CA 93103-1954 2019-09-11
1578118295 Adventist Health Physicians Network Internal Medicine 1231 W Vine St Ste 19, Lodi, CA 95240-5109 2019-08-08
1063079176 Kasra Sedarati M.d. Inc. Internal Medicine 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 2019-05-23
1124586367 Coast Concierge Medicine Inc Internal Medicine 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 2019-03-06
1801373352 Antelope Valley Lung & Sleep Institute, Inc Internal Medicine 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 2018-07-26
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1841780301 San Joaquin Critical Care Medical Group, Inc. Internal Medicine 1801 E March Ln Ste C300, Stockton, CA 95210-6657 2018-05-10
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
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Competitor

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City MONTCLAIR
Zip Code 91763

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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