Rebecca Chung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49081 Issued in CA

Practice address

9095 Central Ave Apt a
Garden Grove, CA 92844-1320

Phone

(951) 543-6075

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740408681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 CENTRAL AVE APT A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441320",
            "telephone_number": "951-543-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 CENTRAL AVE APT A",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441320",
            "telephone_number": "951-543-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Chung
• Jane K. Chung, L.AC
• Jay Jae Chung
• John Yearncharn Chung, DMD
• Karlyssa Rae Chung, PA-C
• Robert Sung Chung, M.D.
• Valeria Cisneros Miramontes
• Alejandra Elizabeth Cisneros
• City of Garden Grove Fire Department
• Clara Nguyen DDS, Inc

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.