Provider Demographics
NPI:1699835090
Name:H.H. CHUN, M.D., INC.
Entity Type:Organization
Organization Name:H.H. CHUN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:DAVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-533-4274
Mailing Address - Street 1:321 N KUAKINI ST STE 514
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2361
Mailing Address - Country:US
Mailing Address - Phone:808-533-4274
Mailing Address - Fax:808-533-4276
Practice Address - Street 1:321 N KUAKINI ST STE 514
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2361
Practice Address - Country:US
Practice Address - Phone:808-533-4274
Practice Address - Fax:808-533-4276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00204502Medicaid