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RICHARD B. D. CHUN M.D. PROFESSIONAL CORPORATION NPI 1003000563

NPI Profile

NPI: 1003000563
Provider Name: RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
729 SUNRISE AVE
STE 619
ROSEVILLE, CA
ZIP 95661

Phone: (916) 783-7118

RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION is a healthcare provider in Roseville, CA. RICHARD B. D. CHUN, M.D. PROFESSIONAL CORPORATION NPI is 1003000563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

729 SUNRISE AVE
STE 619
ROSEVILLE, CA
ZIP 95661-548
Phone: (916) 783-7118

The provider's authorized official is Richard B. Chun .
The authorized official title is President and has the following contact phone number (916) 783-7118.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 4/24/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyC28231CALIFORNIANo
2261QP2300XClinic/CenterPrimary CareC28231CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E33595MEDICARE UPINCALIFORNIA
200C282310MEDICAIDCALIFORNIA
300C282310MEDICARE PINCALIFORNIA
400C282310OTHERCALIFORNIABLUE SHIELD
5ZZZ23011ZMEDICARE PINCALIFORNIA
6110233272OTHERCALIFORNIARAILROAD MEDICARE-PGBA
7=========OTHERTIN/EIN
8C28231OTHERCALIFORNIABLUE CROSS
9110233272MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2018

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