Provider Demographics
NPI:1023106143
Name:CHUN, BYUNG WHA (MD)
Entity type:Individual
Prefix:
First Name:BYUNG
Middle Name:WHA
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3356 W BALL RD
Mailing Address - Street 2:#115
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804
Mailing Address - Country:US
Mailing Address - Phone:714-826-1274
Mailing Address - Fax:714-826-1274
Practice Address - Street 1:3356 W BALL RD
Practice Address - Street 2:SUITE: 115
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-3702
Practice Address - Country:US
Practice Address - Phone:714-826-1274
Practice Address - Fax:714-826-1274
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36508B207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A28109Medicare UPIN