Healthcare Provider Details

I. General information

NPI: 1861573057
Provider Name (Legal Business Name): FRANCIS K CHUNG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N VERMONT AVE
LOS ANGELES CA
90027-5337
US

IV. Provider business mailing address

30 FANPALM
IRVINE CA
92620
US

V. Phone/Fax

Practice location:
  • Phone: 323-783-4052
  • Fax: 323-783-1982
Mailing address:
  • Phone: 949-387-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number35558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: