Organization
GLORIA CHUNG, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA CHUNG DO (PRESIDENT)
(909) 632-0895
Entity
Organization
Contact information
Practice address
1101 E HOLT AVE STE G, POMONA, CA 91767-5800
(909) 632-0895
(909) 620-8193
Mailing address
1101 E HOLT AVE STE G, POMONA, CA 91767-5800
(909) 632-0895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134362205
—
CA
Enumeration date
07/05/2024
Last updated
07/05/2024
Update your record
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