| Sc Chun Md, Pc | |
|
1878 E Hatch Rd Modesto CA 95351-5096 | |
| (209) 845-2553 | |
| Not Available |
| Full Name | Sc Chun Md, Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 02/19/2022 |
| Certification Date | 02/19/2022 |
| Medicare PECOS PAC ID | 8628486099 |
|---|---|
| Medicare Enrollment ID | O20210423001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508441478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Soo Christine Chun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538278205 PECOS PAC ID: 5092732941 Enrollment ID: I20051029000166 |
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