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1184053662
JAE HWAN CHUNG
LOS ANGELES, CA
NPI
1184053662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004056)
Enumeration Date
2013-11-05
Last Update Date
2016-06-16
Business Address
Mr. JAE HWAN CHUNG NP
520 S VIRGIL AVE STE 507
LOS ANGELES, CA 90020-1452
Phone number: 310-850-9925
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Mailing Address
Mr. JAE HWAN CHUNG NP
1720 MISSION ST APT 5
SOUTH PASADENA, CA 91030-3329
Phone number: 310-850-9925
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