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General NPI Number Information
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NPI Number | 1689731309
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Entity Type | Organization
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Legal Business Name | YONG W CHUNG MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2621 S BRISTOL ST #101
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City | SANTA ANA
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State | CA
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Zip | 92704
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Country | US
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Telephone | 714-662-1749
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Fax | 714-662-0765
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Provider Business Mailing Address
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Address Line | 2621 S BRISTOL ST #101
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City | SANTA ANA
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State | CA
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Zip | 92704
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Country | US
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Telephone | 714-662-1749
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Fax | 714-662-0765
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Authorized Official
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Title or Position | PRESIDENT AND MD
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Name | MR. YONG W CHUNG
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Credential | MD
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Telephone | 714-662-1749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A38317
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A38317
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License Number State | CA
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