Chester Tung, D.O., A Professional Corporation
Family Medicine in Westminster, CA. Organization (NPI-2).
NPI number1477203289
StatusActive
Last updated in NPPESMay 4, 2022
Details
- NPI
- 1477203289
- Entity type
- Organization (NPI-2)
- Legal business name
- Chester Tung, D.O., A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Mar 25, 2022
- Certification date
- May 4, 2022
- Last updated
- May 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
15573 Brookhurst StWestminster, CA 92683-7554
Phone 714-775-3066 · Fax 714-531-2915
Mailing address
15573 Brookhurst StWestminster, CA 92683-7554
Phone 240-506-9855
Authorized official
Chester Tung
Physician/President
2405069855
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