Individual provider · Type 1 NPI

Erlaine De Leoz Chung, FNP-C

Family Nurse Practitioner · Los Angeles, CA

NPI number 1114788445 Active

Practice location

8635 W 3rd St Ste 1195W
Los Angeles, CA 90048-6146

Fax (310) 423-8663

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X95028162 (CA)
Family Nurse Practitioner Primary 363LF0000X95028162 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114788445

Erlaine De Leoz Chung, FNP-C's National Provider Identifier is 1114788445, issued on Jan 23, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 7, 2024.