MEDICARE: DR. JOSEPH C CHUN MD

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	A31129	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104824697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH C CHUN MD

Provider Business Mailing Address
First Line	:	PO BOX 70211
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90070-0211
Country	:	US
Telephone Number	:	213-944-7123
Fax Number	:	213-483-7575

Provider Business Practice Location Address
First Line	:	3030 W OLYMPIC BLVD
Second Line	:	#217
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-6501
Country	:	US
Telephone Number	:	213-944-7123
Fax Number	:	213-483-7575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/29/2013

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