Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A125693 | CA |
N | 111NI0900X | Internist | A125693 | CA |
Y | 207RN0300X | Nephrologist | A125693 | CA |
NPI | 1053757955 |
---|---|
Provider Name | Dr. Victoria Chung |
First Address | Sacramento, CA 95817-1460 |
Second Address | Sacramento, CA 95817-1460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 23/12/2021 |