Healthcare Provider Details

I. General information

NPI: 1629096789
Provider Name (Legal Business Name): DAVID CHUN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 ATLANTIC AVE
LONG BEACH CA
90806-2701
US

IV. Provider business mailing address

2701 ATLANTIC AVE
LONG BEACH CA
90806-2701
US

V. Phone/Fax

Practice location:
  • Phone: 714-377-6993
  • Fax: 562-427-1987
Mailing address:
  • Phone: 714-377-6993
  • Fax: 562-427-1987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA72132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: