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Individual

DR. CHARLES KUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10234 ROSECRANS AVE, BELLFLOWER, CA 90706-2602
(562) 920-1632
(562) 920-4643
Mailing address
75 REMITTANCE DR DEPT 6008, CHICAGO, IL 60675-6008
(562) 282-1419
(562) 920-4642

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78550
CA
207R00000X
Internal Medicine Physician
G78550
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G785500
BLUE SHIELD
CA
05
00G785500
CA
01
110230455
RAILROAD MEDICARE
CA
Enumeration date
07/31/2006
Last updated
07/13/2016
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