| Gloria Chung, D.o., Inc | |
|
1101 E Holt Ave Ste G Pomona CA 91767-5800 | |
| (909) 632-0895 | |
| (909) 620-8193 |
| Full Name | Gloria Chung, D.o., Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1101 E Holt Ave Ste G, Pomona, California |
| Authorized Official Name and Position | Gloria Chung (PRESIDENT) |
| Authorized Official Contact | 9096320895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Chung, D.o., Inc 1101 E Holt Ave Ste G Pomona CA 91767-5800 Ph: (909) 632-0895 | Gloria Chung, D.o., Inc 1101 E Holt Ave Ste G Pomona CA 91767-5800 Ph: (909) 632-0895 |
| NPI Number | 1215773544 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215773544 | NPI | - | NPPES |
| 1134362205 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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