Individual
KIYON CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4060 FOURTH AVE STE 650, SAN DIEGO, CA 92103-2121
(619) 819-7222
Mailing address
4060 FOURTH AVE STE 650, SAN DIEGO, CA 92103-2121
(619) 819-7222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00041132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C54514
CA LICEN SE
—
01
—
MD00041132
LICENSE
WA
Enumeration date
07/27/2006
Last updated
11/15/2011
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