Individual
AUGUSTINE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2625 W ALAMEDA AVE STE 322, BURBANK, CA 91505-4822
(818) 843-9020
(818) 843-9021
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A131377
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A131377
CA
207RP1001X
Pulmonary Disease Physician
A131377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131377
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
04/29/2010
Last updated
08/27/2019
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