Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 45561 | CA |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 45561 | CA |
N | 1223X0008X | Oral and Maxillofacial Radiology | 45561 | CA |
NPI | 1205860665 |
---|---|
Provider Name | Dr. Francis Hyunjin Chung |
First Address | San Francisco, CA 94110-2430 |
Second Address | San Francisco, CA 94110-2430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |