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Individual

CALEB IAN CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
100 NEWPARK MALL, NEWARK, CA 94560-5252
(510) 745-9030
Mailing address
1335 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-1912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14448TLG
CA

Other

Enumeration date
12/31/2012
Last updated
01/03/2022
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