Individual
BO RAM CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
Mailing address
23638 LYONS AVE STE 153, NEWHALL, CA 91321-2513
(404) 642-0900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000417
CA
367500000X
Certified Registered Nurse Anesthetist
RN194250
GA
Other
Enumeration date
03/24/2015
Last updated
12/23/2022
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