MEDICARE: TRUSTED DOCTORS LLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1194581488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED DOCTORS LLC

Provider Business Mailing Address
First Line	:	13135 ROUTE 50 STE 300
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-1907
Country	:	US
Telephone Number	:	703-322-0245
Fax Number	:	703-666-3762

Provider Business Practice Location Address
First Line	:	3430 WORTHINGTON BLVD STE 204
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-7019
Country	:	US
Telephone Number	:	301-662-0133
Fax Number	:	240-379-6710

Authorized Official
Title or Position	:	CEO
Name	:	SANDY CHUNG
Credential	:	MD
Telephone Number	:	703-322-0245

Provider Enumeration Date	:	02/23/2024
Last Update Date	:	02/23/2024

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Directions to “TRUSTED DOCTORS LLC ” Practice Location

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