| Peter J. Chung, M.d. Inc. | |
|
266 S Harvard Blvd Suite 340 Los Angeles CA 90004-4372 | |
| (786) 877-4558 | |
| Not Available |
| Full Name | Peter J. Chung, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 S Harvard Blvd, Los Angeles, California |
| Authorized Official Name and Position | Peter J Chung (PRESIDENT) |
| Authorized Official Contact | 2139085014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J. Chung, M.d. Inc. 266 S Harvard Blvd Suite 340 Los Angeles CA 90004-4372 Ph: () - | Peter J. Chung, M.d. Inc. 266 S Harvard Blvd Suite 340 Los Angeles CA 90004-4372 Ph: (786) 877-4558 |
| NPI Number | 1174079040 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/13/2019 |
| Medicare PECOS PAC ID | 5890075998 |
|---|---|
| Medicare Enrollment ID | O20161207001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174079040 | NPI | - | NPPES |
| A121679 | Other | CA | CALIFORNIA STATE LICENSE |
| Provider Name | Peter Jeano Chung |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104056845 PECOS PAC ID: 6709166804 Enrollment ID: I20161207001247 |
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