Provider Demographics
NPI:1538153341
Name:TUNG, HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:TUNG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4510 EXECUTIVE DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3021
Mailing Address - Country:US
Mailing Address - Phone:858-643-5650
Mailing Address - Fax:858-643-5660
Practice Address - Street 1:4510 EXECUTIVE DR
Practice Address - Street 2:SUITE 125
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3021
Practice Address - Country:US
Practice Address - Phone:858-643-5650
Practice Address - Fax:858-643-5660
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2011-08-26
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Provider Licenses
StateLicense IDTaxonomies
CAG058235207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF31332Medicare UPIN