| Chung Medical Corporation, Inc | |
|
8401 California City Blvd Suite 7 California City CA 93505-5277 | |
| (760) 373-1150 | |
| (760) 373-7841 |
| Full Name | Chung Medical Corporation, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 8401 California City Blvd, California City, California |
| Authorized Official Name and Position | Beverly Elaine Thorbus (OWNER / ADMINISTRATOR) |
| Authorized Official Contact | 7603823505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chung Medical Corporation, Inc 8401 California City Blvd Suite 7 California City CA 93505-5277 Ph: (760) 373-1150 | Chung Medical Corporation, Inc 8401 California City Blvd Suite 7 California City CA 93505-5277 Ph: (760) 373-1150 |
| NPI Number | 1649217431 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649217431 | NPI | - | NPPES |
| RHM53835G | Medicaid | CA | |
| HAP53835G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHM53835G (California) | Primary |
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