Chung, Tina Timmy

Chung, Tina Timmy is an individual health care provider with primary practice located at 2311 W El Segundo Blvd , Hawthorne CA 90250-3315. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chung, Tina Timmy can be contacted via phone (323) 241-6730.

Contact Information

Primary practice address
2311 W El Segundo Blvd Hawthorne CA 90250-3315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW66394 California

Profile Details

NPI number 1083920276
LBN Legal business name Chung, Tina Timmy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2010
Last updated May 18th, 2015 - about 9 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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