Provider Demographics
NPI:1821170150
Name:CHUNG, TAEHYUN PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:TAEHYUN
Middle Name:PHILIP
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 616
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1522
Mailing Address - Country:US
Mailing Address - Phone:415-668-0411
Mailing Address - Fax:415-668-6352
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 616
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:415-668-0411
Practice Address - Fax:415-668-6352
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
CAA104629208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery