Healthcare Provider Details

I. General information

NPI: 1639309156
Provider Name (Legal Business Name): HUGH SUNG CHUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CITY BLVD W SUITE 1600
ORANGE CA
92868-3298
US

IV. Provider business mailing address

333 CITY BLVD W SUITE 1600
ORANGE CA
92868-3298
US

V. Phone/Fax

Practice location:
  • Phone: 714-456-5840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301094833
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number136961
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA136961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: