Judy Tung, MHS, PA-C
Physician Assistant in San Marino, CA. Individual provider (NPI-1).
NPI number1669936894
StatusActive
Last updated in NPPESJan 22, 2019
Details
- NPI
- 1669936894
- Entity type
- Individual (NPI-1)
- Name
- Judy Tung
- Credential
- MHS, PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2019
- Last updated
- Jan 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA56480 | CA | Yes |
Practice location
1385 Blackstone RdSan Marino, CA 91108-2720
Phone 626-512-7660
Mailing address
1385 Blackstone RdSan Marino, CA 91108-2720
Phone 626-512-7660
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in San Marino, CA
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- Emily Hortenstine McDowell, PA-CNPI 1659704286
- Alastair NaghiehNPI 1235712241
All 6 Physician Assistant providers in San Marino · All 268 providers in San Marino
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