| Organization Name: | CHUNG MEDICAL CORPORATION, INC |
| NPI Number: | 1386681187 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEVERLY ELAINE THORBUS (OWNER / ADMINISTRATOR) |
| Mailing Address: | 1415 W Rosamond Blvd Suite 24 Rosamond |
| State: | CA US |
| Postal Code: | 935607429 |
| Phone Number: | 6612561866 |
| Fax Number: | 6612561649 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 11/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | RHM53857G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |