Provider Demographics
NPI:1215044300
Name:HUR, CHUNG OK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUNG
Middle Name:OK
Last Name:HUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:710 N EUCLID ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-4115
Mailing Address - Country:US
Mailing Address - Phone:714-991-8650
Mailing Address - Fax:714-517-2247
Practice Address - Street 1:710 N EUCLID ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4115
Practice Address - Country:US
Practice Address - Phone:714-991-8650
Practice Address - Fax:714-517-2247
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC42674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C426740Medicaid
CA00C426740Medicaid
CA00C426740Medicaid