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CALEB IAN CHUNG O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1003152695

Individual Registrant:
 CALEB IAN CHUNG O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 NEWPARK MALL  NEWARK, CA 94560-5252 US
Tel: 510-745-9030  Fax: --

Contact information for business:
1335 MARTIN LUTHER KING JR WAY  BERKELEY, CA 94709-1912 US
Tel: --  Fax: --

Registration Information:
NPI: 1003152695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA14448TLG

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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