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Richard B. D. Chun, M.D. Professional Corporation

Clinic/Center, Primary Care in Roseville, CA. Organization (NPI-2).

NPI number1003000563
StatusActive
Last updated in NPPESApr 24, 2014

Details

NPI
1003000563
Entity type
Organization (NPI-2)
Legal business name
Richard B. D. Chun, M.D. Professional Corporation
Organization subpart
No
Enumeration date
Aug 28, 2007
Last updated
Apr 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary CareC28231CAYes
207RG0100X Internal Medicine, GastroenterologyC28231CA

Practice location

729 Sunrise Ave
Ste 619
Roseville, CA 95661-4548

Phone 916-783-7118

Mailing address

729 Sunrise Ave
Ste 619
Roseville, CA 95661-4548

Phone 916-783-7118

Authorized official

Richard B. Chun
President
9167837118

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