Jun Chung M.d., Inc | |
3000 W Olympic Blvd Ste 203 Los Angeles CA 90006-2588 | |
(812) 361-8328 | |
Not Available |
Full Name | Jun Chung M.d., Inc |
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Speciality | Clinic/Center |
Location | 3000 W Olympic Blvd Ste 203, Los Angeles, California |
Authorized Official Name and Position | Jun Chung (CEO) |
Authorized Official Contact | 2136747500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jun Chung M.d., Inc 3000 W Olympic Blvd Ste 203 Los Angeles CA 90006-2588 Ph: (213) 674-7500 | Jun Chung M.d., Inc 3000 W Olympic Blvd Ste 203 Los Angeles CA 90006-2588 Ph: (812) 361-8328 |
NPI Number | 1295457620 |
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Provider Enumeration Date | 09/13/2022 |
Last Update Date | 02/13/2023 |
Medicare PECOS PAC ID | 6103296371 |
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Medicare Enrollment ID | O20230104000887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295457620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jun Chung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205190659 PECOS PAC ID: 1254613524 Enrollment ID: I20170120001853 |
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