Chi, Wan Chung

Chi, Wan Chung is an sole proprietor health care provider with primary practice located at 900 Hyde St , San Francisco CA 94109-4806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Chi, Wan Chung can be contacted via phone (415) 353-6539.

Contact Information

Primary practice address
900 Hyde St San Francisco CA 94109-4806
Phone: (415) 353-6539
Fax: (415) 591-5845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A76199 California

Profile Details

NPI number 1942208335
LBN Legal business name Chi, Wan Chung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jan 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942208335 NPPES
California MEDICAID 00A761990

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