Chung, Jimmy Y.
Chung, Jimmy Y. is an individual health care provider with primary practice located at 907 Georgiana St , Port Angeles WA 98362-3911. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chung, Jimmy Y. can be contacted via phone (360) 565-0999.Contact Information
Primary practice address
907 Georgiana St
Port Angeles WA 98362-3911
Phone: (360) 565-0999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A70974 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00037817 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A70974 | California |
Profile Details
| NPI number | 1134298177 |
|---|---|
| LBN Legal business name | Chung, Jimmy Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Dec 30th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134298177 | NPPES |
| California | MEDICAID | GR0100250 | |
| California | Other | MD00037817 | |
| California | Other | A70974 |
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