Provider Demographics
NPI:1013008598
Name:CHUN, ALAN PATRICK (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PATRICK
Last Name:CHUN
Suffix:
Gender:M
Credentials:DDS, MD
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Other - First Name:
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Mailing Address - Street 1:9301 FIRCREST LN
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3960
Mailing Address - Country:US
Mailing Address - Phone:925-833-8516
Mailing Address - Fax:925-833-8347
Practice Address - Street 1:9301 FIRCREST LN
Practice Address - Street 2:SUITE 6
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-3960
Practice Address - Country:US
Practice Address - Phone:925-833-8516
Practice Address - Fax:925-833-8347
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOMS251223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH18240Medicare UPIN
CA00A615790Medicare ID - Type UnspecifiedMEDICARE ID NUMBER