Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A90490 | CA |
NPI | 1386795144 |
---|---|
Provider Name | Mrs. Karine Chung |
First Address | Los Angeles, CA 90025 |
Second Address | Los Angeles, CA 90025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 20/09/2019 |