Healthcare Provider Details

I. General information

NPI: 1366488801
Provider Name (Legal Business Name): CHRISTINE CHUANG HUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 E HILLSDALE BLVD
FOSTER CITY CA
94404-1214
US

IV. Provider business mailing address

1295 E HILLSDALE BLVD
FOSTER CITY CA
94404-1214
US

V. Phone/Fax

Practice location:
  • Phone: 650-574-2774
  • Fax: 650-341-9236
Mailing address:
  • Phone: 650-574-2774
  • Fax: 650-341-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA69918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: