Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A112317 | CA |
NPI | 1053574608 |
---|---|
Provider Name | Dr. Michael S. Chung |
First Address | Cerritos, CA 90703-2671 |
Second Address | Downey, CA 90241-5018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 19/11/2018 |