Lily S. Chung, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A78636 Issued in CA

Legal business name

LILY S. CHUNG, MD, PC

Practice address

28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402

Phone

(909) 521-8698

Fax

(909) 266-0055

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Lily S. Chung, MD

Title

Psychiatrist

Phone

(909) 521-8698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1851721716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11509",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231509",
            "telephone_number": "909-521-8698",
            "fax_number": "909-266-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 228",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "909-521-8698",
            "fax_number": "909-266-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY S. CHUNG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "909-521-8698",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A78636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.