Provider Demographics
NPI:1477908523
Name:PCHUNG CORPORATION
Entity Type:Organization
Organization Name:PCHUNG CORPORATION
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-944-6985
Mailing Address - Street 1:4333 ADMIRALTY WAY STE 9
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5469
Mailing Address - Country:US
Mailing Address - Phone:310-751-0514
Mailing Address - Fax:
Practice Address - Street 1:4333 ADMIRALTY WAY STE 9
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5469
Practice Address - Country:US
Practice Address - Phone:310-944-6985
Practice Address - Fax:310-953-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health