Individual provider · Type 1 NPI

Connie Chung, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1013569896 Active

Practice location

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414

Mailing address

1818 Michigan Ave Apt 605
Los Angeles, CA 90033-2458

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1013569896

Connie Chung, MD's National Provider Identifier is 1013569896, issued on Jul 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 25, 2024.