Provider Demographics
NPI:1770779662
Name:WILLIAM HUNG, M.D., M.P.H. A MEDICAL CORPORATION
Entity type:Organization
Organization Name:WILLIAM HUNG, M.D., M.P.H. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-728-2148
Mailing Address - Street 1:2101 W BEVERLY BLVD
Mailing Address - Street 2:STE 301
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3951
Mailing Address - Country:US
Mailing Address - Phone:323-728-2148
Mailing Address - Fax:
Practice Address - Street 1:2101 W BEVERLY BLVD
Practice Address - Street 2:STE 301
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3951
Practice Address - Country:US
Practice Address - Phone:323-728-2148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36522261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
A88382Medicare UPIN