Individual
DR. JINA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, BOX 405, TORRANCE, CA 90502-2004
(310) 222-2515
(310) 787-0448
Mailing address
1000 W CARSON ST, BOX 405, TORRANCE, CA 90502-2004
(310) 222-2515
(310) 787-0448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A96406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A96406
BLUE CROSS OF CA
CA
Enumeration date
10/12/2006
Last updated
01/23/2013
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