Individual
DR. ELAINE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
690 RIVER OAKS PKWY, SUITE 20, SAN JOSE, CA 95134-1905
(408) 914-8839
Mailing address
690 RIVER OAKS PKWY, SUITE 20, SAN JOSE, CA 95134-1905
(408) 914-8839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12795TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043345051
MEDICAL NPI GROUP
CA
05
—
GSD005300
—
CA
Enumeration date
07/03/2006
Last updated
12/05/2013
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