Provider Demographics
NPI:1528538345
Name:ALBERT CHUNG, MD., MBA, INC.
Entity Type:Organization
Organization Name:ALBERT CHUNG, MD., MBA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-898-3315
Mailing Address - Street 1:801 N TUSTIN AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3601
Mailing Address - Country:US
Mailing Address - Phone:714-988-8690
Mailing Address - Fax:714-988-2235
Practice Address - Street 1:801 N TUSTIN AVE STE 306
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3601
Practice Address - Country:US
Practice Address - Phone:714-988-8690
Practice Address - Fax:714-988-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center