Provider Demographics
NPI:1972631018
Name:CHUN, HUI TAEK
Entity type:Individual
Prefix:DR
First Name:HUI
Middle Name:TAEK
Last Name:CHUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 GEARY BLVD # 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3797
Mailing Address - Country:US
Mailing Address - Phone:415-441-7333
Mailing Address - Fax:415-441-1333
Practice Address - Street 1:1660 GEARY BLVD # 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3797
Practice Address - Country:US
Practice Address - Phone:415-441-7333
Practice Address - Fax:415-441-1333
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7279171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0072790Medicaid