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NPI Code Detail

MEDICARE: JULIE KUNG

MEDICARE: JULIE KUNG
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
1183500000XPharmacist49994CA

General Provider Information

NPI Number : 1467172445
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KUNG
Provider Business Mailing Address
First Line : 535 FAIRVIEW AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91007-6736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 437 FERNANDO CT
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2723
Country : US
Telephone Number : 818-309-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2022
Last Update Date : 08/31/2022

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Directions to “ JULIE KUNG ” Practice Location

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