Chung, Tina Timmy
Chung, Tina Timmy is an individual health care provider with primary practice located at 2311 W El Segundo Blvd , Hawthorne CA 90250-3315. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chung, Tina Timmy can be contacted via phone (323) 241-6730.Contact Information
Primary practice address
2311 W El Segundo Blvd
Hawthorne CA 90250-3315
Phone: (323) 241-6730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW66394 | California |
Profile Details
| NPI number | 1083920276 |
|---|---|
| LBN Legal business name | Chung, Tina Timmy |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2010 |
| Last updated | May 18th, 2015 - about 11 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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