Individual
ELIZABETH K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2521 MICHELLE DR, TUSTIN, CA 92780-7014
(714) 430-2686
Mailing address
31 CLOVER, LAKE FOREST, CA 92630-8368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13567 TLG
CA
Other
Enumeration date
07/22/2008
Last updated
11/29/2021
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