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1194818518 NPI number — JAMES CHUNG O.D.

NPI Number: 1194818518
Health Care Provider/Practitioner: JAMES CHUNG O.D.

Information about “1194818518” NPI (JAMES CHUNG O.D.) exists in 1194818518 in HTML format HTML  |  1194818518 in plain Text format TXT  |  1194818518 in PDF (Portable Document Format) PDF  |  1194818518 in an XML format XML  formats.

NPI Number : 1194818518 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194818518",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHUNG",
    "FirstName": "JAMES",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHUNG",
    "OtherFirstName": "JAMES",
    "OtherMiddleName": "YICHIN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "20442 MILANO CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YORBA LINDA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92886-8623",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-315-7522",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "720 E VALLEY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN GABRIEL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91776-3547",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-288-8097",
    "PracticeLocationAddressFaxNumber": "626-288-8031",
    "EnumerationDate": "09/30/2006",
    "LastUpdateDate": "08/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "11494T",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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