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Elicia Yeon-ji Chung, FNP-BC
Family Nurse Practitioner in Marina Del Rey, California
NPI 1043998305

Elicia Yeon-ji Chung is a Family Nurse Practitioner based in Marina Del Rey, CA and is specialized in Family. Elicia Yeon-ji Chung practices in Marina Del Rey, CA and has the professional credentials of FNP-BC. The NPI Number for Elicia Yeon-ji Chung is 1043998305 and holds a License No. 95026563 (California).

The current practice location address for Elicia Yeon-ji Chung is 13171 Mindanao Way, Marina Del Rey, CA and can be reached out via phone at 310-821-8908.

Location: 13171 Mindanao Way, Marina Del Rey, CA, 90292-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043998305
Provider Name
Elicia Yeon-ji Chung
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
13171 Mindanao Way, Marina Del Rey, CA, 90292-6307
Phone Number
310-821-8908
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13171 Mindanao Way
City
Marina Del Rey
State
California
Zip
90292-6307
Phone Number
310-821-8908
Fax Number
person
Provider Business Mailing Address Details
Address
13171 Mindanao Way
City
Marina Del Rey
State
California
Zip
90292-6307
Phone Number
310-821-8908
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95026563 (California)
Definition
Definition to come...
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