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General NPI Number Information
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NPI Number | 1366746299
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Entity Type | Organization
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Legal Business Name | JOSEPH C CHUN, MD, INC
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 201 S ALVARADO ST STE 702
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City | LOS ANGELES
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State | CA
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Zip | 90057-2390
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Country | US
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Telephone | 213-480-1475
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Fax | 213-483-7575
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Provider Business Mailing Address
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Address Line | PO BOX 70211
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City | LOS ANGELES
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State | CA
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Zip | 90070-0211
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Country | US
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Telephone | 213-480-1475
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Fax | 213-483-7575
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LILIA F DE JESUS
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Credential | N/A
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Telephone | 213-386-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A31129
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License Number State | CA
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