BENJAMIN CHUNG MD INC NPI 1497011308

NPI Information

  • NPI: 1497011308
  • Provider Name: BENJAMIN CHUNG MD INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: RIVERWALK SURGERY CENTER
  • CLIA Number: 05D2048009
  • Address: 4244 RIVERWALK PKWY
    SUITE 200
    RIVERSIDE, CA
    ZIP 92505
  • Phone: (951) 321-0100

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NPI Details

BENJAMIN CHUNG MD INC is an ambulatory surgical clinic center in Riverside, CA. BENJAMIN CHUNG MD INC NPI is 1497011308. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverwalk Surgery Center.

The provider's business location address is:

4244 RIVERWALK PKWY
SUITE 200
RIVERSIDE, CA
ZIP 92505-372
Phone: (951) 321-0100
Fax: (951) 321-0131

The provider's authorized official is Benjamin D Chung .
The authorized official title is Owner / Medical Director and has the following contact phone number (951) 321-0100.

The CLIA number assigned to this NPI record is 05D2048009 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)

The enumeration date for this NPI number is 4/4/2012 and was last updated on 4/11/2013.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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