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Individual

CHIN W CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24891 STONEGATE LN, LAGUNA NIGUEL, CA 92677-8809
(917) 415-7656
Mailing address
24891 STONEGATE LN, LAGUNA NIGUEL, CA 92677-8809
(917) 415-7656

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C129000
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00775484
NY
Enumeration date
08/02/2006
Last updated
11/27/2024
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