Individual provider · Type 1 NPI

Josiah Ian Chung

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

NPI number 1033614862 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Call (951) 788-3638 Map

Mailing address

4445 Magnolia Ave Ofc
Riverside, CA 92501-4199

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 1033614862

Josiah Ian Chung's National Provider Identifier is 1033614862, issued on Mar 25, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Mar 25, 2018.