Provider Demographics
NPI:1205190659
Name:CHUNG, JUN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUN
Middle Name:
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 W OLYMPIC BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2588
Mailing Address - Country:US
Mailing Address - Phone:213-674-7500
Mailing Address - Fax:213-900-7651
Practice Address - Street 1:3000 W OLYMPIC BLVD STE 203
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2588
Practice Address - Country:US
Practice Address - Phone:213-674-7500
Practice Address - Fax:213-900-7651
Is Sole Proprietor?:No
Enumeration Date:2012-06-30
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135724207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine