DANIEL JISUNG CHUNG (NPI# 1366583015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366583015 |
| Entity Type | Individual |
| Full Name | DANIEL JISUNG CHUNG |
| Credential | DDS |
| Practice Address |
275 Victoria St Suite 2e Costa Mesa CA 92627-1906 |
| Practice Telephone | 9496311420 |
| Practice Fax Number | 9495488844 |
| Mailing Telephone | 9496311420 |
| Mailing Fax Number | 9495488844 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
53699 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073931077 | Daniel In Chung | Otolaryngology | 1600 Eureka Rd # D, Roseville, CA 95661 | 2014-04-07 |
| 1578895348 | Daniel Hyun Chung | Psychologist | 2375 Hudson Ter, Apt 5b, Fort Lee, NJ 07024-7949 | 2010-02-04 |
| 1346363652 | Daniel D. Chung | Dentist | 8884 Knott Ave, Buena Park, CA 90620-4135 | 2007-04-10 |
| 1447898614 | Daniel Chung | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-12-18 |
| 1518459361 | Daniel Wonjae Chung | Student in an Organized Health Care Education/Training Program | 3807 Ohara Street, E502, Pittsburgh, PA 15213 | 2018-06-06 |
| 1659861557 | Daniel W. Chung | Physician Assistant | 7324 Southwest Fwy Ste 1550, Houston, TX 77074 | 2018-05-16 |
| 1295250660 | Daniel Chung | Counselor | 100 E Main St Ste C, Medford, OR 97501-6041 | 2017-08-07 |
| 1891113585 | Daniel Chung | Family Medicine | 2230 Cottman Ave, Philadelphia, PA 19149-1230 | 2014-03-31 |
| 1891032843 | Daniel Chung | Student in an Organized Health Care Education/Training Program | 1950 S Sunwest Ln, Suite 200, San Bernardino, CA 92408-3258 | 2013-01-10 |
| 1417133422 | Daniel Chung | Dentist | 1160 Old Peachtree Rd, Suite B, Duluth, GA 30097-5125 | 2008-01-21 |
| Street Address |
275 VICTORIA ST SUITE 2E |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932120797 | Abdul A Khan | Internal Medicine | 275 Victoria St, Suite 1e, Costa Mesa, CA 92627-1906 | 2006-07-21 |
| 1417508797 | Viviana Santiago | Social Worker | 275 Victoria St, Costa Mesa, CA 92627-1906 | 2019-09-26 |
| 1134586670 | Moses Morar | Nurse Practitioner | 275 Victoria St, Costa Mesa, CA 92627-1906 | 2016-01-27 |
| 1215350434 | Karen Muna | Marriage & Family Therapist | 275 Victoria St, 2l, Costa Mesa, CA 92627-1906 | 2014-01-23 |
| 1992013882 | Paul S Stately D C Inc | Chiropractor | 275 Victoria St, Suite 2c, Costa Mesa, CA 92627-1906 | 2010-09-14 |
| 1275849317 | Jorge Aflredo Guevara | Chiropractor | 275 Victoria St, Suite 2c, Costa Mesa, CA 92627-1906 | 2010-08-26 |
| 1760707152 | Gisoo Zarrabi | Psychiatry & Neurology | 275 Victoria St, Costa Mesa, CA 92627-1906 | 2010-03-29 |
| 1255478129 | Matthew M. Do. Dpm A Proffesional Corporation | Podiatrist | 275 Victoria St, Ste 1d, Costa Mesa, CA 92627-1906 | 2007-01-31 |
| 1124188008 | David Greenberg | Chiropractor | 275 Victoria St, Ste. 2a, Costa Mesa, CA 92627-1906 | 2006-12-11 |
| 1245306935 | Rita K Nijjar | Dermatology | 275 Victoria St, Suite 1h, Costa Mesa, CA 92627-1906 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841705746 | Timothy Joseph Rolfes | Dentist | 1530 Baker St #j, Costa Mesa, CA 92626-3752 | 2017-12-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1255880928 | Karen Pingyao Yeh | Dentist | 1545 Baker St, Costa Mesa, CA 92626-3731 | 2016-09-22 |
| 1548642846 | De Leon Dentistry General & Cosmestic | Dentist | 1942 Harbor Blvd., Costa Mesa, CA 92627 | 2015-06-23 |
| 1689068884 | M. Zakhary Dds, Inc. | Dentist | 488 E 17th St, 101a, Costa Mesa, CA 92627-3250 | 2015-03-25 |
| 1467716035 | Julianne Shaw | Dentist | 1831 Orange Ave Ste D, Costa Mesa, CA 92627-2839 | 2012-06-28 |
| 1487913471 | Matt G. Farzin Dds, Inc | Dentist | 2969 Harbor Blvd., Costa Mesa, CA 92626 | 2012-05-10 |
| 1558631234 | Sandra Y Rodriguez | Dentist | 2700 Peterson Pl, Unit 49b, Costa Mesa, CA 92626-5300 | 2012-01-11 |
| 1932485299 | Annie Van Anh Nguyen | Dentist | 3105 Monroe Way, Costa Mesa, CA 92626-2826 | 2011-10-31 |
| 1730463662 | Douglas W Lim | Dentist | 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 | 2011-10-11 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on DANIEL JISUNG CHUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.