| Doctor Name: | MR. JOHN CHUNG |
| NPI Number: | 1043304470 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 14523 |
| Business Practice Address: | 9700 De Soto Ave Chatsworth, CA - 913114409 |
| Business Phone Number: | 8188828100 |
| Business Fax Number: | 8187008255 |
| Mailing Address: | 9700 De Soto Ave, CHATSWORTH |
| State: | CA |
| Postal Code: | 913114409 |
| Phone Number: | 8188828100 |
| Fax Number: | 8187008255 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 14523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |