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General NPI Number Information
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NPI Number | 1619840683
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Entity Type | Organization
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Legal Business Name | EVAN HYUN-JIN CHUNG MD INC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 6260 EL CAMINO REAL STE 201
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City | CARLSBAD
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State | CA
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Zip | 92009-1609
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Country | US
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Telephone | 706-618-6055
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 LOKER AVE W # 1283
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City | CARLSBAD
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State | CA
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Zip | 92010-6603
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Country | US
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Telephone | 949-988-9034
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EVAN CHUNG
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Credential | MD
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Telephone | 949-988-9034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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