Doctor Name: | STEPHANIE CHUNG |
NPI Number: | 1063846772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | D8860053 |
Business Practice Address: | 415 S Garfield Ave Alhambra, CA - 918013838 |
Business Phone Number: | 6262823151 |
Business Fax Number: | |
Mailing Address: | 2920 Los Olivos Ln, LA CRESCENTA |
State: | CA |
Postal Code: | 912142813 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | D8860053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |