Provider Demographics
NPI:1205973328
Name:CHUNG, YUEH-HAN WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:YUEH-HAN
Middle Name:WILLIAM
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 BIRDCAGE ST
Mailing Address - Street 2:SUITE 145
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-7621
Mailing Address - Country:US
Mailing Address - Phone:916-966-6544
Mailing Address - Fax:916-966-6547
Practice Address - Street 1:6501 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0306
Practice Address - Country:US
Practice Address - Phone:916-537-5000
Practice Address - Fax:916-851-2884
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95517207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABE521YMedicare PIN
CAP00694118Medicare PIN
CABE521XMedicare PIN
CABE521ZMedicare PIN
CARES000Medicare UPIN