Chris Chung, Md, Inc. in San Jose - Sports Medicine
Chris Chung, Md, Inc. - NPI 1003022419
Chris Chung, Md, Inc. is a Sports Medicine in San Jose, California. Chris Chung, Md, Inc. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Chris Chung, Md, Inc. is 1003022419. The last update date is 2020-08-22.
Chris Chung, Md, Inc.'s current location address is 455 Oconnor Dr, San Jose, California. You can contact this provider via phone number 4082937767 and fax number 4082946595. The mailing address for Chris Chung, Md, Inc. is 455 Oconnor Dr, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chris Chung, Md, Inc. |
|---|---|
| Address | 455 Oconnor Dr, San Jose, California |
| Phone Number | 4082937767 |
| Fax Number | 4082946595 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chung Enchul Chris |
| Telephone Number | 4082937767 |
NPI Number Detail
| NPI Number | 1003022419 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 455 Oconnor Dr |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951281633 |
| Phone Number | 4082937767 |
| Fax Number | 4082946595 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | A54870 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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What is the unique identifier code issued to Chris Chung, Md, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Chris Chung, Md, Inc. has been assigned the NPI (National Provider Identifier) 1003022419. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Chris Chung, Md, Inc.?
The Chris Chung, Md, Inc. is situated at 455 Oconnor Dr, in the city of San Jose, state of CA, with the zip code 951281633.
What is Chris Chung, Md, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chris Chung, Md, Inc. is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003022419 to Chris Chung, Md, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1003022419 to Chris Chung, Md, Inc. on 2007-05-15.
When was the information related to Chris Chung, Md, Inc. most recently updated or refreshed?
The details pertaining to the Chris Chung, Md, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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