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General NPI Number Information
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NPI Number | 1851928816
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Entity Type | Individual
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Provider Name | EVAN CHUNG MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 01/04/2026
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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 | 949-403-8226
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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 |
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | A196337
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License Number State | CA
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