| Chansun Chung, NP | |
|
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
| (626) 851-1011 | |
| Not Available |
| Full Name | Chansun Chung |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033267927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP9193 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Chansun Chung, NP 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Chansun Chung, NP 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Charlie A Evanilla, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Diana P Leyva, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Veronica F Clinkscales, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Teresa Rowson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Aida Gomez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Julie M Marenco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |