MEDICARE: DANNY K CHUNG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	C 38984	CA

General Provider Information

NPI Number	:	1427089002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY K CHUNG M.D.

Provider Business Mailing Address
First Line	:	2420 ABADEJO, LA VERNE,CA 91750
Second Line	:	201 W GARVEY AVE., # 108
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7418
Country	:	US
Telephone Number	:	626-573-2188
Fax Number	:	626-573-1345

Provider Business Practice Location Address
First Line	:	2420 ABADEJO, LA VERNE,CA 91750
Second Line	:	201 W GARVEY AVE., # 108
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7418
Country	:	US
Telephone Number	:	626-573-2188
Fax Number	:	626-573-1345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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