Most Relevant Information
Provider Data
| NPI Number: | 1003301391 |
| Provider Name: | ALLEN CHUNG OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 33974TLG |
Most Important Dates
| Enumeration Date: | 06/28/2018 |
| Last Updated: | 08/02/2022 |
Provider Practice Location
9460 MIRA MESA BLVD STE A
SAN DIEGO
CA
921264870
Practice Location Phone/Fax
| Phone: | 8585661756 |
| Fax: | 8585661845 |
Provider Mailing Location
9460 MIRA MESA BLVD STE A
SAN DIEGO
CA
921264870
Provider Mailing Phone/Fax
| Phone: | 8585661756 |
| Fax: |