Chung, Justin

Chung, Justin is an individual health care provider with primary practice located at 17911 Sky Park Cir Ste E , Irvine CA 92614-4303. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Chung, Justin can be contacted via phone (949) 302-1931.

Contact Information

Primary practice address
17911 Sky Park Cir Ste E Irvine CA 92614-4303
Phone: (949) 302-1931
Fax: (949) 271-3741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1619407038
LBN Legal business name Chung, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2017
Last updated Jun 18th, 2017 - about 7 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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