Individual
BEAU MICHAEL CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3220 S BREA CANYON RD, SUITE H, DIAMOND BAR, CA 91765-3481
(909) 594-1848
Mailing address
3220 S BREA CANYON RD, STE H, DIAMOND BAR, CA 91765-3481
(909) 594-1848
(909) 594-5969
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A14922
CA
Other
Enumeration date
08/31/2016
Last updated
08/06/2019
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