Healthcare Provider Details

I. General information

NPI: 1104845858
Provider Name (Legal Business Name): ABRAHAM K CHUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

IV. Provider business mailing address

PO BOX 102858
PASADENA CA
91189-2858
US

V. Phone/Fax

Practice location:
  • Phone: 925-947-3393
  • Fax: 925-947-3396
Mailing address:
  • Phone: 925-952-2828
  • Fax: 925-952-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA74982
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA74982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: