BENJAMIN CHUNG MD INC NPI 1497011308

NPI Information

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 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:

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