Healthcare Provider Details

I. General information

NPI: 1831204486
Provider Name (Legal Business Name): WILLIAM STEPHEN CHUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 PACIFIC AVE SUITE 507
SAN FRANCISCO CA
94133-4457
US

IV. Provider business mailing address

728 PACIFIC AVE SUITE 507
SAN FRANCISCO CA
94133-4457
US

V. Phone/Fax

Practice location:
  • Phone: 415-986-2239
  • Fax: 415-986-2237
Mailing address:
  • Phone: 415-986-2239
  • Fax: 415-398-6783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA51482
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA51482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: