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Individual

CAROLYN CHUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1990 WESTWOOD BLVD STE 220, LOS ANGELES, CA 90025-4674
(310) 475-5377
Mailing address
1990 WESTWOOD BLVD STE 220, LOS ANGELES, CA 90025-4674
(310) 475-5377

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3776
CA
213E00000X
Podiatrist
E3776A
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3776
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3776A
CA
213ES0131X
Foot Surgery Podiatrist
E3776
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E37760
CA
Enumeration date
03/06/2007
Last updated
09/26/2022
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