Healthcare Provider Details

I. General information

NPI: 1366575490
Provider Name (Legal Business Name): FRANCIS H. CHUNG, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
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 Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number45561
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code292200000X
TaxonomyDental Laboratory
License Number45561
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number45561
License Number StateCA

VIII. Authorized Official

Name: DR. FRANCIS HYUNJIN CHUNG
Title or Position: SURGEON
Credential: D.D.S.
Phone: 415-401-7380