Provider Demographics
NPI:1649505744
Name:TUNG, JONATHAN (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:TUNG
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:UCSD SHILEY EYE CENTER 9415 CAMPUS POINT DR # 257
Mailing Address - Street 2:MAIL CODE 0946
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0946
Mailing Address - Country:US
Mailing Address - Phone:858-534-8858
Mailing Address - Fax:
Practice Address - Street 1:UCSD SHILEY EYE CENTER 9415 CAMPUS POINT DR # 257
Practice Address - Street 2:MAIL CODE 0946
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0946
Practice Address - Country:US
Practice Address - Phone:858-534-8858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program