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NPI Code Detail

MEDICARE: DR. PAUL S CHUNG M.D.

MEDICARE: DR. PAUL S 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
1208D00000XGeneral Practice PhysicianA92851CA
22084P0800XPsychiatry PhysicianA92851CA

General Provider Information

NPI Number : 1780647347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL S CHUNG M.D.
Provider Business Mailing Address
First Line : 1619 E CHAPMAN AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92831-4015
Country : US
Telephone Number : 213-309-4671
Fax Number :
Provider Business Practice Location Address
First Line : 1619 E CHAPMAN AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92831-4015
Country : US
Telephone Number : 213-309-4671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 01/12/2016

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Directions to “ DR. PAUL S CHUNG M.D.” Practice Location

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