Provider Demographics
NPI:1992920581
Name:CHUN, PATRICK YOUNGWHAN (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:YOUNGWHAN
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10945 LECONTE AVE
Mailing Address - Street 2:SUITE 2333
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10945 LECONTE AVE
Practice Address - Street 2:SUITE 2333
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-206-1214
Practice Address - Fax:310-206-3289
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00087207R00000X
CAA104752207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine