Provider Demographics
NPI:1831204486
Name:CHUNG, WILLIAM STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:728 PACIFIC AVE
Mailing Address - Street 2:SUITE 507
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4457
Mailing Address - Country:US
Mailing Address - Phone:415-986-2239
Mailing Address - Fax:415-398-6783
Practice Address - Street 1:728 PACIFIC AVE
Practice Address - Street 2:SUITE 507
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4457
Practice Address - Country:US
Practice Address - Phone:415-986-2239
Practice Address - Fax:415-986-2237
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2013-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA51482207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA514822Medicaid
CAA514822Medicaid
CAF49581Medicare UPIN