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NPI Code Detail

MEDICARE: JOSEPH CHUN D.O.

MEDICARE:   JOSEPH  CHUN  D.O.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician20A20260CA
2208100000XPhysical Medicine & Rehabilitation Physician20A20260CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00222076OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150075032OTHERPACAPITAL BLUE CROSS
2818700OTHERPABLUE CARE HMO (FPH)
3082431OTHERPABLUE CARE
425-1645055OTHERPAUNITEDHEALTH CARE
53723087/7564617OTHERPAAETNA
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
789018-1067OTHERPAGEISINGER
920038444OTHERPAAMERIHEALTH

General Provider Information

NPI Number : 1780678789
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH CHUN D.O.
Provider Business Mailing Address
First Line : 5770 BARLEY RD
Second Line :
City : DUBLIN
State : CA
Zip : 94568
Country : US
Telephone Number : 570-561-7720
Fax Number :
Provider Business Practice Location Address
First Line : 275 W MACARTHUR BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 03/22/2024

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