Dr Michael Chung, DDS, MD in San Gabriel, CA - Oral & Maxillofacial Surgery

Dr Michael Chung, DDS, MD is a Oral & Maxillofacial Surgery based in San Gabriel, California. Dr Michael Chung is licensed to practice in California (license number 64035) and his current practice location is 360 E Las Tunas Dr Ste 206, San Gabriel, California. He can be reached at his office (for appointments etc.) via phone at (818) 768-2062.

NPI number for Dr Michael Chung is 1154795656 and his current mailing address is 360 E Las Tunas Dr Ste 206, San Gabriel, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154795656.

Contact Information

	Dr Michael Chung, DDS, MD
	360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514
	(818) 768-2062
	Not Available

Healthcare Provider's Profile

Full Name	Dr Michael Chung
Gender	Male
Speciality	Oral & Maxillofacial Surgery
Location	360 E Las Tunas Dr Ste 206, San Gabriel, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1154795656
Provider Enumeration Date: 11/20/2015
Last Update Date: 06/25/2020

Medical Identifiers

Medical identifiers for Dr Michael Chung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154795656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	64034 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	64034 (California)	Secondary
204E00000X	Oral & Maxillofacial Surgery	64035 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Chung is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 780-2062	Dr Michael Chung, DDS, MD 360 E Las Tunas Dr Ste 206, San Gabriel, CA 91776-5514 Ph: (818) 768-2062

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Dr Michael Chung, DDS, MD - in San Gabriel, CA