Doctor Name: | WOOSIN CHUNG |
NPI Number: | 1003066556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP 17479 |
Business Practice Address: | 988 S Fair Oaks Ave Pasadena, CA - 911052626 |
Business Phone Number: | 3107933776 |
Business Fax Number: | |
Mailing Address: | 401 S Fair Oaks Ave, PASADENA |
State: | CA |
Postal Code: | 911052603 |
Phone Number: | 3107933776 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2008 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP 17479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |