MEDICARE: JULIE CHUNG

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	106H00000X	Marriage & Family Therapist	157833	CA

General Provider Information

NPI Number	:	1649123431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE CHUNG

Provider Business Mailing Address
First Line	:	10866 WASHINGTON BLVD # 17
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-3610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 10TH ST STE 404
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2831
Country	:	US
Telephone Number	:	925-282-1778
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ JULIE CHUNG ” Practice Location

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