Search › California › 171100000X
Ilseon Chung
NPI 1518187657 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4943 La Palma Ave Ste D
La Palma, CA 90623 - Phone
- (562) 924-5230
- Fax
- (562) 924-5240
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California