Chan Suk Jung

NPI 1811298391 · on the registry since 2010 · sole proprietor

Practice

Address: 850 Colorado Blvd
Ste 104
Los Angeles, CA 90041
Phone: (213) 553-1884
Fax: (213) 236-9662
Organisation at this address: Diagon Medical Supply
Jessica Cerutti, Licensed Clinical Social Worker, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-01-28

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