Organization
JOSEPH MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. CHUN MD (PRESIDENT/DIRECTOR)
(714) 739-4325
Entity
Organization
Contact information
Practice address
6261 STANTON AVE, BUENA PARK, CA 90621-2436
(714) 739-4325
(714) 739-4076
Mailing address
6261 STANTON AVE, BUENA PARK, CA 90621-2436
(714) 739-4325
(714) 739-4076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
CA
207K00000X
Allergy & Immunology Physician
Primary
G61950
CA
207Q00000X
Family Medicine Physician
A80586
CA
207Q00000X
Family Medicine Physician
A82873
CA
207R00000X
Internal Medicine Physician
G61950
CA
208000000X
Pediatrics Physician
G61950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G619500K91
CALOPT
CA
05
—
GR0088840
—
CA
Enumeration date
12/21/2005
Last updated
04/18/2012
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