# CHRIS CHUNG, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003022419
- **Authorized official:** CHRIS ENCHUL CHUNG (CEO)
- **Authorized official phone:** (408) 293-7767

## Contact information

- **Practice address:** 455 OCONNOR DR, \#150, SAN JOSE, CA 95128-1633
- **Practice address phone:** (408) 293-7767
- **Practice address fax:** (408) 294-6595
- **Mailing address:** 455 OCONNOR DR, \#150, SAN JOSE, CA 95128-1633
- **Mailing address phone:** (408) 293-7767
- **Mailing address fax:** (408) 294-6595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A54870 | CA | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A54870 | CA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 09/11/2025