Chris Chung, M.D.
Family Medicine, Sports Medicine in Santa Clara, CA. Individual provider (NPI-1).
NPI number1528043403
StatusActive
Last updated in NPPESMay 4, 2019
Details
- NPI
- 1528043403
- Entity type
- Individual (NPI-1)
- Name
- Chris Chung
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2005
- Last updated
- May 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | A54870 | CA | Yes |
| 207Q00000X | Family Medicine | A54870 | CA |
Practice location
900 Lafayette St Ste 105Santa Clara, CA 95050
Phone 408-293-7767 · Fax 408-294-6595
Mailing address
900 Lafayette St Ste 105Santa Clara, CA 95050-4966
Phone 408-293-7767 · Fax 408-294-6595
Other practice locations
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