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NPI Code Detail

MEDICARE: RICHARD B. D. CHUN M.D.

MEDICARE: RICHARD B. D. CHUN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianC28231CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100C282310OTHERCABLUE SHIELD
2C28231OTHERCABLUE CROSS
3952587937OTHERCABLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003818055
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD B. D. CHUN M.D.
Provider Business Mailing Address
First Line : 729 SUNRISE AVE
Second Line : SUITE 619
City : ROSEVILLE
State : CA
Zip : 95661-4548
Country : US
Telephone Number : 916-783-7118
Fax Number :
Provider Business Practice Location Address
First Line : 7777 SUNRISE BLVD STE 2500
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-2372
Country : US
Telephone Number : 916-737-5555
Fax Number : 916-880-5430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 12/21/2022

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