Chung, Sang P

Chung, Sang P is an sole proprietor health care provider with primary practice located at 11100 Warner Ave Ste 106 , Fountain Valley CA 92708-7500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chung, Sang P can be contacted via phone (714) 966-2112.

Contact Information

Primary practice address
11100 Warner Ave Ste 106 Fountain Valley CA 92708-7500
Phone: (714) 966-2112
Fax: (714) 966-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C39201 California

Profile Details

NPI number 1578677480
LBN Legal business name Chung, Sang P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jun 4th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578677480 NPPES
California MEDICAID 00C39201

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