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Individual

ERLAINE DE LEOZ CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
8635 W 3RD ST STE 1195W, LOS ANGELES, CA 90048-6146
(310) 423-8661
(310) 423-8663
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95028162
CA
363LF0000X
Family Nurse Practitioner
Primary
95028162
CA

Other

Enumeration date
01/23/2024
Last updated
05/07/2024
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