Chun, Carrie Dianne

Chun, Carrie Dianne is an individual health care provider with primary practice located at 15004 Innovation Dr , San Diego CA 92128-3491. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Chun, Carrie Dianne can be contacted via phone (858) 605-7131.

Contact Information

Primary practice address
15004 Innovation Dr San Diego CA 92128-3491
Phone: (858) 605-7131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A81513 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A81513 California

Profile Details

NPI number 1447271796
LBN Legal business name Chun, Carrie Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447271796 NPPES
Washington MEDICAID 8465825

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