Provider Demographics
NPI:1174689301
Name:CHUN, MARCUS YAH-TUNG (CRTT)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:YAH-TUNG
Last Name:CHUN
Suffix:
Gender:M
Credentials:CRTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3876 EASTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-2124
Mailing Address - Country:US
Mailing Address - Phone:408-839-5732
Mailing Address - Fax:
Practice Address - Street 1:3876 EASTWOOD CIR
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-2124
Practice Address - Country:US
Practice Address - Phone:408-839-5732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARCP000247992278C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedCritical Care