Healthcare Provider Details

I. General information

NPI: 1811801467
Provider Name (Legal Business Name): CHUNG DENTISTRY APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 W PACIFIC COAST HWY
WILMINGTON CA
90744-2549
US

IV. Provider business mailing address

20529 VICTOR ST
TORRANCE CA
90503-2240
US

V. Phone/Fax

Practice location:
  • Phone: 310-830-3620
  • Fax: 310-830-3534
Mailing address:
  • Phone: 818-527-5637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: RICHARD CHUNG
Title or Position: CEO
Credential: DDS
Phone: 310-387-4225