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NPI Code Detail

MEDICARE: JAMES CHUN

MEDICARE: JAMES CHUN
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
1106S00000XBehavior TechnicianHI

General Provider Information

NPI Number : 1942998661
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES CHUN
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 98-211 PALI MOMI ST STE 520
Second Line :
City : AIEA
State : HI
Zip : 96701-4328
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 04/17/2026

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