Healthcare Provider Details

I. General information

NPI: 1992962955
Provider Name (Legal Business Name): GRACE CHUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 CALLE APAREJO
SANTA BARBARA CA
93111-1722
US

IV. Provider business mailing address

559 CALLE APAREJO
SANTA BARBARA CA
93111-1722
US

V. Phone/Fax

Practice location:
  • Phone: 805-881-8002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: