Individual
MARILDA HERNANDEZ CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 HYDE ST, SAN FRANCISCO, CA 94109-4806
(415) 353-6338
Mailing address
PO BOX 29364, SAINT LOUIS, MO 63126-0364
(415) 353-6338
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
G74478
CA
207ZP0101X
Anatomic Pathology Physician
G74478
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G74478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G744780
—
CA
Enumeration date
06/15/2006
Last updated
02/18/2021
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