Dr. Michael Chung
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
360 E Las Tunas Dr Ste 206
San Gabriel
, California 91776-5514
Dr. Michael Chung
Dentist Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
360 E Las Tunas Dr Ste 206
San Gabriel
, California 91776-5514
(818) 780-2062
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Chung
- 360 E Las Tunas Dr Ste 206
- San Gabriel, CA
- Zip : 91776-5514
- Phone : (818) 780-2062
Second Address
- Dr. Michael Chung
- 360 E Las Tunas Dr Ste 206
- San Gabriel, CA
- Zip : 91776-5514
- Phone : (818) 768-2062
Reviews
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Is Dr. Michael Chung a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 64034 | CA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 64034 | CA |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 64035 | CA |
National Provider Identifier
| NPI | 1154795656 |
|---|---|
| Provider Name | Dr. Michael Chung |
| First Address | San Gabriel, CA 91776-5514 |
| Second Address | San Gabriel, CA 91776-5514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2015 |
| Last Update Date | 25/06/2020 |
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.