MEDICARE: HOR B. CHHAY, MD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	32550	CA
2	208D00000X	General Practice Physician	A56425	CA

General Provider Information

NPI Number	:	1386953925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOR B. CHHAY, MD INC

Provider Business Mailing Address
First Line	:	1862 E. ANAHEIM STREET
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3906
Country	:	US
Telephone Number	:	562-218-4298
Fax Number	:	562-218-1480

Provider Business Practice Location Address
First Line	:	1862 E. ANAHEIM STREET
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3906
Country	:	US
Telephone Number	:	562-218-4298
Fax Number	:	562-218-1480

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOR BORN CHHAY
Credential	:	M.D
Telephone Number	:	562-218-4298

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	09/30/2010

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