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Organization

KIYON CHUNG MD, APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIYON CHUNG MD (PRESIDENT)
(619) 819-7222
Entity
Organization

Contact information

Practice address
4060 4TH AVE, SUITE 650, SAN DIEGO, CA 92103-2121
(619) 819-7222
(619) 299-5023
Mailing address
4060 4TH AVE STE 650, SAN DIEGO, CA 92103-2121
(619) 819-7222
(619) 299-5023

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C54514
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C54514
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
03/30/2018
Last updated
03/07/2023
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