Individual
DEREK HWAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT 42343
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 517-2368
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 517-2368
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT42343
CA
Other
Enumeration date
09/14/2022
Last updated
12/20/2024
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