Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL CHUNG, D.D.S., M.D.
Active Sole ProprietorDR. MICHAEL CHUNG, D.D.S., M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SAN GABRIEL, California. NPI 1154795656 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · SAN GABRIEL, CA
Registration Details
- NPI Number
- 1154795656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2015 (10.68992427586 yrs)
- Last Updated
- Jun 25, 2020
- Licenses
-
64034 (CA)64034 (CA)64035 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
360 E LAS TUNAS DR STE 206SAN GABRIEL, CA, 917765514Browse CA providers · Browse ZIP 91776
- Phone
- 8187682062
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.