Dr Michael Chung, DDS, MD is a
Oral & Maxillofacial Surgery based in San Gabriel, California. Dr Michael Chung is licensed to practice in California (license number 64035) and his current practice location is
360 E Las Tunas Dr Ste 206, San Gabriel, California. He can be reached at his office (for appointments etc.) via phone at
(818) 768-2062.
NPI number for Dr Michael Chung is 1154795656 and his current mailing address is 360 E Las Tunas Dr Ste 206, San Gabriel, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154795656.
Healthcare Provider's Profile
| Full Name | Dr Michael Chung |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
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| Location | 360 E Las Tunas Dr Ste 206, San Gabriel, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154795656
- Provider Enumeration Date: 11/20/2015
- Last Update Date: 06/25/2020
Medical Identifiers
Medical identifiers for Dr Michael Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154795656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 64034 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 64034 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 64035 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Chung is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 780-2062 | Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 768-2062 |
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