Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A99062 | CA |
N | 207VX0201X | Gynecologic Oncologist | A99062 | CA |
NPI | 1346441144 |
---|---|
Provider Name | Dr. Christopher P Chung |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Arcadia, CA 91007-3471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 03/12/2020 |