Individual
CHASE HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1019 S CENTRAL AVE, GLENDALE, CA 91204-2210
(818) 244-4374
Mailing address
1019 S CENTRAL AVE, GLENDALE, CA 91204-2210
(818) 244-4374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52565
CA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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