Organization
RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B. CHUN M. D. (PRESIDENT)
(916) 783-7118
Entity
Organization
Contact information
Practice address
729 SUNRISE AVE, STE 619, ROSEVILLE, CA 95661-4548
(916) 783-7118
Mailing address
729 SUNRISE AVE, STE 619, ROSEVILLE, CA 95661-4548
(916) 783-7118
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
C28231
CA
261QP2300X
Primary Care Clinic/Center
Primary
C28231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C282310
BLUE SHIELD
CA
05
—
00C282310
—
CA
01
—
110233272
RAILROAD MEDICARE-PGBA
CA
01
—
C28231
BLUE CROSS
CA
Enumeration date
08/28/2007
Last updated
04/24/2014
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