Individual
DR. CHANG KYUN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3663 W. 6TH ST., SUITE #105, LOS ANGELES, CA 90020
(323) 730-8900
(323) 730-1758
Mailing address
3663 W. 6TH ST., SUITE# 105, LOS ANGELES, CA 90020
(323) 730-8900
(323) 730-1758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B36530
—
CA
Enumeration date
02/20/2007
Last updated
01/18/2018
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