Chung, David J

Chung, David J is an individual health care provider with primary practice located at 2051 Marengo St # C2K100 Attn: Sotera Garcia, Los Angeles CA 90033-1352. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Chung, David J can be contacted via phone (323) 409-5932.

Contact Information

Primary practice address
2051 Marengo St # C2K100 Attn: Sotera Garcia Los Angeles CA 90033-1352
Phone: (323) 409-5932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X A144970 California

Profile Details

NPI number 1356723704
LBN Legal business name Chung, David J
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Nov 30th, 2022 - about 2 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 1356723704 NPPES
California MEDICAID CC3232267556

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