Search › California › 122300000X
Jae Chung
NPI 1902579949 · on the registry since 2021 · sole proprietor
Practice
- Address
- 654 W 4th St # A
San Bernardino, CA 92410 - Phone
- (909) 386-3650
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-27
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