DR. SUMMER PUANANI CHONG (NPI# 1770803181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770803181 |
| Entity Type | Individual |
| Full Name | DR. SUMMER PUANANI CHONG |
| Credential | M.D. |
| Practice Address |
1701 E Cesar E Chavez Ave Suite 100 Los Angeles CA 90033-2464 |
| Mailing Address |
1701 E Cesar E Chavez Ave Suite 510 Los Angeles CA 90033-2464 |
| Practice Telephone | 3239871362 |
| Mailing Telephone | 3239871362 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2014-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A120535 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1701 E CESAR E CHAVEZ AVE SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913722 | Ronald Bruce Johnson | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave, Ste 225/200, Los Angeles, CA 90033-2496 | 2005-06-27 |
| 1538521364 | Ryan Keith O'malley | Nurse Practitioner | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2016-03-22 |
| 1184085649 | Patricia Kelly | Family Medicine | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2016-03-11 |
| 1598122160 | Julieta Garcia La Rocca | Family Medicine | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2016-01-26 |
| 1992105357 | Bethany Bustamante | Student in an Organized Health Care Education/Training Program | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2014-09-03 |
| 1679973267 | Adventist Health Physicians Network | Pediatrics | 1701 E Cesar E Chavez Ave, #456, Los Angeles, CA 90033-2464 | 2014-09-02 |
| 1326458613 | Silvia Munoz Martin Sanchez | Internal Medicine | 1701 E Cesar E Chavez Ave, Suite 100, Los Angeles, CA 90033-2464 | 2014-05-07 |
| 1689090656 | Fusako Hatasaka | Nurse Practitioner | 1701 E Cesar E Chavez Ave, Suite 305, Los Angeles, CA 90033-2464 | 2014-03-13 |
| 1477974111 | Arezoo Fozailoff | Pediatrics | 1701 E Cesar E Chavez Ave, Suite 456, Los Angeles, CA 90033-2464 | 2013-12-24 |
| 1174944029 | Emily Daly | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave, Suite 200, Los Angeles, CA 90033-2464 | 2013-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1679120422 | Sameer Bashey Md Pllc | Dermatology | 9201 W Sunset Blvd Ste 414, Los Angeles, CA 90069-3705 | 2019-08-26 |
| 1538640669 | James Y. Wang, Md, Inc. | Dermatology | 888 S Figueroa St Ste 1050, Los Angeles, CA 90017-5310 | 2018-08-27 |
| 1235639691 | Pearl E. Grimes Md, Inc. | Dermatology | 5670 Wilshire Blvd Ste 650, Los Angeles, CA 90036-5609 | 2018-02-12 |
| 1578926622 | Tuyet Ann Nguyen | Dermatology | 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | 2016-04-05 |
| 1215370960 | Courtney Phillips | Dermatology | 1200 N State St # 3250, Los Angeles, CA 90033-1029 | 2013-04-12 |
| 1760749311 | Ardalan Minokadeh | Dermatology | 9201 W Sunset Blvd Ste 602, Los Angeles, CA 90069-3707 | 2012-04-20 |
| 1518254481 | Samuel Jackson Balin | Dermatology | 200 Medical Plz Ste 450, Los Angeles, CA 90095 | 2011-06-29 |
| 1689963340 | Consuelo Veronica David | Dermatology | 3520 Somerset Dr, Los Angeles, CA 90016-4808 | 2011-04-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| 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.