Organization
PETER J. CHUNG, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J CHUNG M.D. (PRESIDENT)
(213) 908-5014
Entity
Organization
Contact information
Practice address
266 S HARVARD BLVD, SUITE 340, LOS ANGELES, CA 90004-4372
(786) 877-4558
Mailing address
266 S HARVARD BLVD, SUITE 340, LOS ANGELES, CA 90004-4372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A121679
CA
207RC0000X
Cardiovascular Disease Physician
A121679
CA
207RI0011X
Interventional Cardiology Physician
Primary
A121679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121679
CALIFORNIA STATE LICENSE
CA
Enumeration date
08/30/2016
Last updated
08/13/2019
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