Chung, Sue Yeon

Chung, Sue Yeon is an individual health care provider with primary practice located at 19950 Rinaldi St , Porter Ranch CA 91326-4141. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Chung, Sue Yeon can be contacted via phone (818) 403-2420.

Contact Information

Primary practice address
19950 Rinaldi St Porter Ranch CA 91326-4141
Phone: (818) 403-2420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A100200 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A100200 California

Profile Details

NPI number 1033396767
LBN Legal business name Chung, Sue Yeon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated May 17th, 2012 - about 13 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 1033396767 NPPES
California MEDICAID 00A1002000

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