Provider Demographics
NPI:1821887431
Name:JEFFREY Y.H. CHUNG, L.L.C.
Entity type:Organization
Organization Name:JEFFREY Y.H. CHUNG, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-880-7255
Mailing Address - Street 1:PO BOX 1439
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-1439
Mailing Address - Country:US
Mailing Address - Phone:301-880-7255
Mailing Address - Fax:301-880-7256
Practice Address - Street 1:16220 FREDERICK RD STE 121
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4016
Practice Address - Country:US
Practice Address - Phone:301-880-7255
Practice Address - Fax:301-990-8889
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFREY Y.H. CHUNG, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty