Provider Demographics
NPI:1619317666
Name:HUNG, ERINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERINA
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24371 AVENIDA DE LOS NINOS
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3513
Mailing Address - Country:US
Mailing Address - Phone:949-310-4934
Mailing Address - Fax:239-775-7035
Practice Address - Street 1:10602 CHAPMAN AVE STE 200
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-3147
Practice Address - Country:US
Practice Address - Phone:714-537-0700
Practice Address - Fax:714-638-5991
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS6-192C1223P0221X
CA1029031223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry