Mr. Tae Sub Chung is a Gardena, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Tae Sub Chung is 26363 for Dentistry in California. His current practice location is 15622 S Crenshaw Blvd, Ste B, Gardena. Patients can reach him at 310-323-9922.
Mr. Tae Sub Chung is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Tae Sub Chung speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Tae Sub Chung
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
15622 S Crenshaw Blvd, Ste B, Gardena, California, 90249-4528
Phone:
310-323-9922
Fax:
310-515-3551
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1497967566
NPI Enumeration Date:
03 May, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Tae Sub Chung are as mentioned below.
License Number
Specialization
State
Status
26363
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Tae Sub Chung such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B2636301
Other
California
DENTICAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15622 S Crenshaw Blvd, Ste B Gardena, California
Zip:
90249-4528
Phone Number:
310-323-9922
Fax Number:
310-515-3551
Patients can reach Mr. Tae Sub Chung at 15622 S Crenshaw Blvd, Ste B, Gardena, California or can call to book an appointment on 310-323-9922. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.