Individual
JAMES CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
720 E VALLEY BLVD, SAN GABRIEL, CA 91776-3547
(626) 288-8097
(626) 288-8031
Mailing address
20442 MILANO CT, YORBA LINDA, CA 92886-8623
(626) 315-7522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11494T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0114940
—
CA
Enumeration date
09/30/2006
Last updated
08/23/2023
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