Dr Michael Chung, DDS, MD is a
Oral & Maxillofacial Surgery based in San Gabriel, California. Dr Michael Chung is licensed to practice in California (license number 64035) and his current practice location is
360 E Las Tunas Dr Ste 206, San Gabriel, California. He can be reached at his office (for appointments etc.) via phone at
(818) 768-2062.
NPI number for Dr Michael Chung is 1154795656 and his current mailing address is 360 E Las Tunas Dr Ste 206, San Gabriel, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154795656.
Healthcare Provider's Profile
Full Name | Dr Michael Chung |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 360 E Las Tunas Dr Ste 206, San Gabriel, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154795656
- Provider Enumeration Date: 11/20/2015
- Last Update Date: 06/25/2020
Medical Identifiers
Medical identifiers for Dr Michael Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154795656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 64034 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 64034 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 64035 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Chung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 780-2062 | Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 768-2062 |
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