Healthcare Provider Details

I. General information

NPI: 1205860665
Provider Name (Legal Business Name): FRANCIS HYUNJIN CHUNG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FRANK HYUNJIN CHUNG DDS

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 MISSION ST SUITE 109
SAN FRANCISCO CA
94110-2430
US

IV. Provider business mailing address

2460 MISSION ST SUITE 109
SAN FRANCISCO CA
94110-2430
US

V. Phone/Fax

Practice location:
  • Phone: 415-401-7380
  • Fax: 415-401-7563
Mailing address:
  • Phone: 415-401-7380
  • Fax: 415-401-7563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number45561
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number45561
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number45561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: