Individual
ERICA P CHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3410 FIR ST, SAN DIEGO, CA 92104-5706
(704) 451-3305
Mailing address
PO BOX 660566, ARCADIA, CA 91066-0566
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
200100853
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129PC
—
NC
01
—
C54948
MEDICAL LICENSE
CA
05
—
N00853
—
NC
Enumeration date
01/03/2006
Last updated
11/04/2014
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