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NPI Code Detail

MEDICARE: STEVE M TUNG DPM

MEDICARE:   STEVE M TUNG  DPM
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
1213E00000XPodiatristE4670CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E4670OTHERCACA LICENSE

General Provider Information

NPI Number : 1013060847
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE M TUNG DPM
Provider Business Mailing Address
First Line : 3616 E. FIRST ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063
Country : US
Telephone Number : 323-264-6157
Fax Number :
Provider Business Practice Location Address
First Line : 3616 E 1ST ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-2326
Country : US
Telephone Number : 323-264-6157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 06/11/2009

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Directions to “ STEVE M TUNG DPM” Practice Location

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