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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.