Provider Demographics
NPI:1760043863
Name:CHUN, DARIN HIDEAKI (OD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:HIDEAKI
Last Name:CHUN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 LEXINGTON AVE APT 4D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1457
Mailing Address - Country:US
Mailing Address - Phone:310-408-2128
Mailing Address - Fax:
Practice Address - Street 1:3537 TORRANCE BLVD STE 18
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4818
Practice Address - Country:US
Practice Address - Phone:310-543-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009050152W00000X
CA34430152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist