Sc Chun Md, Pc | |
1878 E Hatch Rd Modesto CA 95351-5096 | |
(209) 845-2553 | |
Not Available |
Full Name | Sc Chun Md, Pc |
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Speciality | Psychiatry & Neurology |
Location | 1878 E Hatch Rd, Modesto, California |
Authorized Official Name and Position | Soo Chun (CEO/PSYCHIATRIST) |
Authorized Official Contact | 4155160779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sc Chun Md, Pc Po Box 576649 Modesto CA 95357-6649 Ph: (209) 845-2553 | Sc Chun Md, Pc 1878 E Hatch Rd Modesto CA 95351-5096 Ph: (209) 845-2553 |
NPI Number | 1508441478 |
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Provider Enumeration Date | 03/12/2021 |
Last Update Date | 02/19/2022 |
Certification Date | 02/19/2022 |
Medicare PECOS PAC ID | 8628486099 |
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Medicare Enrollment ID | O20210423001125 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508441478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Soo Christine Chun |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538278205 PECOS PAC ID: 5092732941 Enrollment ID: I20051029000166 |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |