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General NPI Number Information
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NPI Number | 1841276136
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Entity Type | Individual
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Provider Name | ALBERT K CHUN MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 2812 OLD LEE HWY STE 100B
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City | FAIRFAX
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State | VA
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Zip | 22031-4315
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Country | US
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Telephone | 571-279-6849
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Fax | 571-281-8697
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Provider Business Mailing Address
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Address Line | 26500 AGOURA RD STE 102-587
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City | CALABASAS
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State | CA
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Zip | 91302-1952
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Country | US
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Telephone | 818-880-8605
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 226116
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 226116
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 0101248335
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License Number State | VA
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