Provider Demographics
NPI:1275122319
Name:HUNG, HUA CHUN
Entity Type:Individual
Prefix:
First Name:HUA CHUN
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 E HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3162
Mailing Address - Country:US
Mailing Address - Phone:480-383-3282
Mailing Address - Fax:
Practice Address - Street 1:3105 E HILLCREST DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3162
Practice Address - Country:US
Practice Address - Phone:480-383-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN210524163W00000X
NY726627163W00000X
CA95222089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse