Chung, Michael

Chung, Michael is an sole proprietor health care provider with primary practice located at 360 E Las Tunas Dr Ste 206 , San Gabriel CA 91776-5514. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Chung, Michael can be contacted via phone (818) 768-2062.

Contact Information

Primary practice address
360 E Las Tunas Dr Ste 206 San Gabriel CA 91776-5514
Phone: (818) 768-2062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 64034 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 64034 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 64035 California

Profile Details

NPI number 1154795656
LBN Legal business name Chung, Michael
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2015
Last updated Jun 25th, 2020 - about 4 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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