Individual provider · NPI-1

Connie Yooran Chung, M.D.

Family Medicine · Jbphh, HI

NPI number1811286800
StatusActive
Last updated in NPPESJul 8, 2025

Details

NPI
1811286800
Entity type
Individual (NPI-1)
Name
Connie Yooran Chung
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2011
Certification date
Jul 8, 2025
Last updated
Jul 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine27211NEYes

Practice location

755 Scott Cir
Jbphh, HI 96853-5399

Phone 808-448-6177

Mailing address

755 Scott Cir
Jbphh, HI 96853-5399

Phone 808-448-6177

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