Individual
ELICIA YEON-JI CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
23600 TELO AVE STE 130, TORRANCE, CA 90505-4036
(310) 833-1334
Mailing address
23600 TELO AVE STE 130, TORRANCE, CA 90505-4036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95026563
CA
Other
Enumeration date
07/07/2023
Last updated
06/11/2024
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