BEAU MICHAEL CHUNG (NPI# 1841746799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841746799 |
| Entity Type | Individual |
| Full Name | BEAU MICHAEL CHUNG |
| Credential | D.O. |
| Practice Address |
3220 S Brea Canyon Rd Suite H Diamond Bar CA 91765-3481 |
| Mailing Address |
3220 S Brea Canyon Rd Ste H Diamond Bar CA 91765-3481 |
| Practice Telephone | 9095941848 |
| Mailing Telephone | 9095941848 |
| Mailing Fax Number | 9095945969 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A14922 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3220 S BREA CANYON RD SUITE H |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071962 | Jeffrey Monahan | Chiropractor | 3220 S Brea Canyon Rd, #f, Diamond Bar, CA 91765-3481 | 2005-08-23 |
| 1326470428 | Bryant Chiropractic Corporation | Chiropractor | 3220 S Brea Canyon Rd, Suite F, Diamond Bar, CA 91765-3481 | 2013-07-31 |
| 1760706576 | Sdxray & Lab | Physiological Laboratory | 3220 S Brea Canyon Rd, Ste B, Diamond Bar, CA 91765-3481 | 2010-03-23 |
| 1174793582 | Kurt Michael Bryant | Chiropractor | 3220 S Brea Canyon Rd, Suite F, Diamond Bar, CA 91765-3481 | 2008-03-03 |
| 1366610354 | Monahan Chiropractic Corp | Chiropractor | 3220 S Brea Canyon Rd, Suite F, Diamond Bar, CA 91765 | 2008-02-13 |
| 1114143211 | Song Siameng Jann | Physician Assistant | 3220 S Brea Canyon Rd, Suite H, Diamond Bar, CA 91765-3481 | 2007-04-17 |
| 1881717197 | Michael Lawrence Kwok | Internal Medicine | 3220 S Brea Canyon Rd, Suite H, Diamond Bar, CA 91765-3481 | 2007-04-10 |
| 1811013394 | Diamond Bar Medical Group | Family Medicine | 3220 S Brea Canyon Rd, Diamond Bar, CA 91765-3481 | 2007-03-22 |
| 1528126752 | Peter Hai-nan Chung | Internal Medicine | 3220 S Brea Canyon Rd, Suite H, Diamond Bar, CA 91765-3481 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895694 | Alireza Halati, Md Medical Corporation | General Practice | 3220 S Brea Canyon Rd Ste F, Diamond Bar, CA 91765-3481 | 2017-11-30 |
| 1720265887 | Yvonne Hou | General Practice | 1033 Hourglass Pl, Diamond Bar, CA 91765-4277 | 2008-01-30 |
| 1932217056 | Sushma Bahl | General Practice | 21671 Gateway Center Dr, Suite #101, Diamond Bar, CA 91765-2461 | 2006-08-28 |
| 1720486822 | Shah Wellness Medical Clinic Inc. | General Practice | 23341 Golden Springs Dr, Suite 210, Diamond Bar, CA 91765-2058 | 2014-12-05 |
| 1841522299 | Sushma Bahl M.d., Inc. | General Practice | 1200 S Diamond Bar Blvd, Suite 108, Diamond Bar, CA 91765-2298 | 2010-02-10 |
| 1285890624 | St Joseph Heritage Healthcare | General Practice | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2008-08-05 |
| 1205004983 | Yu Care Medical Group, Inc. | General Practice | 1200 S Diamond Bar Blvd, Diamond Bar, CA 91765-2298 | 2008-02-14 |
| 1477754562 | H. Shah, M.d., Inc. | General Practice | 23341 Golden Springs Dr, Suite 210, Diamond Bar, CA 91765-2058 | 2007-05-29 |
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| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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| 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.