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Individual

DR. EDWARD J. CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4560 ADMIRALTY WAY, 100, MARINA DEL REY, CA 90292-5423
(310) 827-3700
(310) 578-5379
Mailing address
2701 OCEAN PARK BLVD, 112, SANTA MONICA, CA 90405-5200
(310) 314-4260
(310) 314-4298

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A85505
CA

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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