Healthcare Provider Details

I. General information

NPI: 1225059629
Provider Name (Legal Business Name): DONG-CHUNE CHRISTOPHER CHUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5461 ASTERWOOD DR
DUBLIN CA
94568-7719
US

IV. Provider business mailing address

5461 ASTERWOOD DR
DUBLIN CA
94568-7719
US

V. Phone/Fax

Practice location:
  • Phone: 925-833-8367
  • Fax: 925-833-8367
Mailing address:
  • Phone: 925-833-8367
  • Fax: 925-833-8367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA72133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: