Individual
BONGSILL CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 EAST 120TH ST, LOS ANGELES, CA 90059
(424) 338-2366
(310) 223-0361
Mailing address
21209 BLOOMFIELD AVE, LAKEWOOD, CA 90715
(562) 405-4787
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
357813
CA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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