Dr. Jimmy Y. Chung
Surgeon Vascular Surgeon
907 Georgiana St
Port Angeles
, Washington 98362-3911
Dr. Jimmy Y. Chung
Surgeon Vascular Surgeon
907 Georgiana St
Port Angeles
, Washington 98362-3911
(360) 565-0999
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jimmy Y. Chung
- 907 Georgiana St
- Port Angeles, WA
- Zip : 98362-3911
- Phone : (360) 565-0999
Second Address
- Dr. Jimmy Y. Chung
- 907 Georgiana St
- Port Angeles, WA
- Zip : 98362-3911
- Phone : (360) 565-0999
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | A70974 | CA |
| N | 208600000X | Surgeon | A70974 | CA |
| Y | 208200000X | Surgeon | MD00037817 | WA |
| Y | 208600000X | Surgeon | MD00037817 | WA |
| N | 2086S0129X | Vascular Surgeon | A70974 | CA |
National Provider Identifier
| NPI | 1134298177 |
|---|---|
| Provider Name | Dr. Jimmy Y. Chung |
| First Address | Port Angeles, WA 98362-3911 |
| Second Address | Port Angeles, WA 98362-3911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 30/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A70974 | CA MEDICAL LICENSE (01) | CA |
| GR0100250 | (05) | CA |
| H27695 | (02) | CA |
| MD00037817 | WA MEDICAL LICENSE (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.