Individual
CHRIS CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 LAFAYETTE ST STE 105, SANTA CLARA, CA 95050
(408) 293-7767
(408) 294-6595
Mailing address
900 LAFAYETTE ST STE 105, SANTA CLARA, CA 95050-4966
(408) 293-7767
(408) 294-6595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A54870
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A54870
CA
Other
Enumeration date
12/13/2005
Last updated
05/04/2019
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