Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A97328 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A97328 | CA |
NPI | 1134311475 |
---|---|
Provider Name | Dr. Jong Hee Chung |
First Address | Sacramento, CA 95817-2208 |
Second Address | Sacramento, CA 95817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 05/06/2020 |