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NPI Code Detail

MEDICARE: DR. CATHIE T CHUNG M.D.

MEDICARE: DR. CATHIE T 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
1207RH0003XHematology & Oncology PhysicianA61664CA
2207RX0202XMedical Oncology PhysicianA61664CA

General Provider Information

NPI Number : 1679599914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHIE T CHUNG M.D.
Provider Business Mailing Address
First Line : 1500 EAST DUARTE ROAD
Second Line : MACHRIS, RM 2128
City : DUARTE
State : CA
Zip : 91010
Country : US
Telephone Number : 626-256-4673
Fax Number : 626-930-5362
Provider Business Practice Location Address
First Line : 1500 EAST DUARTE ROAD
Second Line : MACHRIS RM 2128
City : DUARTE
State : CA
Zip : 91010
Country : US
Telephone Number : 626-256-4673
Fax Number : 626-930-5362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/24/2016

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