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NPI Code Detail

MEDICARE: EVAN CHUNG MD

MEDICARE:   EVAN  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
1208VP0014XInterventional Pain Medicine PhysicianA196337CA

General Provider Information

NPI Number : 1851928816
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN CHUNG MD
Provider Business Mailing Address
First Line : 2712 LOKER AVE W # 1283
Second Line :
City : CARLSBAD
State : CA
Zip : 92010-6603
Country : US
Telephone Number : 949-988-9034
Fax Number :
Provider Business Practice Location Address
First Line : 6260 EL CAMINO REAL STE 201
Second Line :
City : CARLSBAD
State : CA
Zip : 92009-1609
Country : US
Telephone Number : 949-988-9034
Fax Number : 949-403-8226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 01/19/2026

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Directions to “ EVAN CHUNG MD” Practice Location

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