Chung, Daniel Jisung

Chung, Daniel Jisung is an sole proprietor health care provider with primary practice located at 275 Victoria St Suite 2E, Costa Mesa CA 92627-1906. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chung, Daniel Jisung can be contacted via phone (949) 631-1420.

Contact Information

Primary practice address
275 Victoria St Suite 2E Costa Mesa CA 92627-1906
Fax: (949) 548-8844
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 53699 California

Profile Details

NPI number 1366583015
LBN Legal business name Chung, Daniel Jisung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jan 21st, 2009 - about 16 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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