MEDICARE: CHRISTINA 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	124782	CA

General Provider Information

NPI Number	:	1841998986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA CHUNG

Provider Business Mailing Address
First Line	:	23 ROSEVILLE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-2029
Country	:	US
Telephone Number	:	949-246-6821
Fax Number	:

Provider Business Practice Location Address
First Line	:	5316 N FIGUEROA ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-4004
Country	:	US
Telephone Number	:	323-498-4448
Fax Number	:

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

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/17/2023

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Directions to “ CHRISTINA CHUNG ” Practice Location

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