Provider Demographics
NPI:1801025309
Name:CHUN, ADAM G (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:G
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:SUITE NORTH2 #157
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:626-538-5407
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:SUITE NORTH2 #157
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:626-538-5407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL31963207W00000X
CAA123196207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology