Chung, Benjamin

Chung, Benjamin is an sole proprietor health care provider with primary practice located at 4500 Brockton Ave Suite 306, Riverside CA 92501-4090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chung, Benjamin can be contacted via phone (951) 321-0100.

Contact Information

Primary practice address
4500 Brockton Ave Suite 306 Riverside CA 92501-4090
Phone: (951) 321-0100
Fax: (951) 321-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70147 California

Profile Details

NPI number 1326031923
LBN Legal business name Chung, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Nov 9th, 2011 - about 14 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 1326031923 NPPES
California MEDICAID 00G701470

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