| Chris Chung, Md, Inc. | |
|
455 Oconnor Dr #150 San Jose CA 95128-1633 | |
| (408) 293-7767 | |
| (408) 294-6595 |
| Full Name | Chris Chung, Md, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 455 Oconnor Dr, San Jose, California |
| Authorized Official Name and Position | Chris Enchul Chung (CEO) |
| Authorized Official Contact | 4082937767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Chung, Md, Inc. 455 Oconnor Dr #150 San Jose CA 95128-1633 Ph: (408) 293-7767 | Chris Chung, Md, Inc. 455 Oconnor Dr #150 San Jose CA 95128-1633 Ph: (408) 293-7767 |
| NPI Number | 1003022419 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003022419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54870 (California) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | A54870 (California) | Primary |
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