Provider Demographics
NPI:1194953620
Name:QUONG, CHRISTINE WEI
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:WEI
Last Name:QUONG
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 1:1100 ALAKEA ST FL 9
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2833
Mailing Address - Country:US
Mailing Address - Phone:808-523-7771
Mailing Address - Fax:808-523-1997
Practice Address - Street 1:7012 HAWAII KAI DR
Practice Address - Street 2:#807
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-4137
Practice Address - Country:US
Practice Address - Phone:808-426-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker