Klancy J Chung, REGISTERED AMFT is a
Marriage & Family Therapist based in San Diego, California. Klancy J Chung is licensed to practice in California (license number 133954) and her current practice location is
5755 Oberlin Dr Ste 106, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 736-0436.
NPI number for Klancy J Chung is 1205425337 and her current mailing address is 2530 Raymell Dr, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205425337.
Provider's Profile
| Full Name | Klancy J Chung |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
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| Location | 5755 Oberlin Dr Ste 106, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205425337
- Provider Enumeration Date: 01/13/2021
- Last Update Date: 07/25/2024
Medical Identifiers
Medical identifiers for Klancy J Chung such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205425337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 812817 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 133954 (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. Klancy J 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 |
Klancy J Chung, REGISTERED AMFT 2530 Raymell Dr, San Diego, CA 92123-3544 Ph: () - | Klancy J Chung, REGISTERED AMFT 5755 Oberlin Dr Ste 106, San Diego, CA 92121-4715 Ph: (619) 736-0436 |
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