MEDICARE: BYUNG J CHUNG 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	207L00000X	Anesthesiology Physician	A66501	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OOA665010	OTHER	CA	BLUE SHIELD OF CA

General Provider Information

NPI Number	:	1295786176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BYUNG J CHUNG MD

Provider Business Mailing Address
First Line	:	1380 E ROSEMONT LN
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-3567
Country	:	US
Telephone Number	:	559-797-5278
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 N FRESNO ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2941
Country	:	US
Telephone Number	:	559-448-4500
Fax Number	:

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/10/2025

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