Individual
MICHELLE K CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2895
(310) 206-8232
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776729
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95013343
CA
363LG0600X
Gerontology Nurse Practitioner
95013343
CA
Other
Enumeration date
12/06/2019
Last updated
02/08/2022
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