Individual
MS. MIN AE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(949) 297-3888
Mailing address
631 S BROOKHURST ST STE 101, ANAHEIM, CA 92804-3563
(949) 297-3888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52562
CA
Other
Enumeration date
06/24/2015
Last updated
03/13/2020
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