DR. HOR BORN CHHAY M.D. NPI 1497842256

NPI Information

NPI: 1497842256
Provider Name: DR. HOR BORN CHHAY, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0926151

Address:
1862 E ANAHEIM ST
LONG BEACH, CA
ZIP 90813
Phone: (562) 218-4298
Get Directions

DR. Hor Born Chhay, M.D. is a general practice in Long Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Hor Born Chhay, M.D. NPI is 1497842256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1862 E ANAHEIM ST
LONG BEACH, CA
ZIP 90813-906
Phone: (562) 218-4298
Fax: (562) 218-1480

The NPI 1497842256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0926151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A56425	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G40843	MEDICARE UPIN	CALIFORNIA
2	A56425	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER
3	00A564250	MEDICAID	CALIFORNIA
4	AC0032550	OTHER	CALIFORNIA	ACUPUNCTURE PRIVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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