| Richard B. D. Chun, M.d. Professional Corporation | |
|
729 Sunrise Ave Ste 619 Roseville CA 95661-4548 | |
| (916) 783-7118 | |
| Not Available |
| Full Name | Richard B. D. Chun, M.d. Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 729 Sunrise Ave, Roseville, California |
| Authorized Official Name and Position | Richard B. Chun (PRESIDENT) |
| Authorized Official Contact | 9167837118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard B. D. Chun, M.d. Professional Corporation 729 Sunrise Ave Ste 619 Roseville CA 95661-4548 Ph: (916) 783-7118 | Richard B. D. Chun, M.d. Professional Corporation 729 Sunrise Ave Ste 619 Roseville CA 95661-4548 Ph: (916) 783-7118 |
| NPI Number | 1003000563 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003000563 | NPI | - | NPPES |
| 110233272 | Other | CA | RAILROAD MEDICARE-PGBA |
| 00C282310 | Other | CA | BLUE SHIELD |
| 00C282310 | Medicaid | CA | |
| C28231 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C28231 (California) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | C28231 (California) | Primary |
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