JAE HWAN CHUNG

LOS ANGELES, CA
NPI1184053662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004056)
Enumeration Date2013-11-05
Last Update Date2016-06-16
Business Address
Mr. JAE HWAN CHUNG NP
520 S VIRGIL AVE STE 507
LOS ANGELES, CA 90020-1452
Phone number: 310-850-9925
Mailing Address
Mr. JAE HWAN CHUNG NP
1720 MISSION ST APT 5
SOUTH PASADENA, CA 91030-3329
Phone number: 310-850-9925