Individual
ALICE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
1377 E ACACIA AVE, APT. 5, GLENDALE, CA 91205-3851
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
224540
CA
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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