Organization
HENRY I. KUNG, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET KUNG (BILLING MANAGER)
(925) 945-6070
Entity
Organization
Contact information
Practice address
120 LA CASA VIA, STE 107, WALNUT CREEK, CA 94598-3067
(925) 945-6070
(925) 945-8767
Mailing address
120 LA CASA VIA, STE 107, WALNUT CREEK, CA 94598-3067
(925) 945-6070
(925) 945-8767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G39076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518941673
NPI
CA
Enumeration date
05/27/2010
Last updated
05/27/2010
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