person
Ms. Karlyssa Rae Chung, PA-C
Medical Physician Assistant in Garden Grove, California
NPI 1518305168

Karlyssa Rae Chung is a Medical Physician Assistant based in Garden Grove, CA and is specialized in Medical. Karlyssa Rae Chung practices in Garden Grove, CA and has the professional credentials of PA-C. The NPI Number for Karlyssa Rae Chung is 1518305168 and holds a License No. PA22611 (California).

The current practice location address for Karlyssa Rae Chung is 12556 Valley View St, Garden Grove, CA and can be reached out via phone at 714-897-9355 and via fax at 714-897-5117.

Location: 12556 Valley View St, Garden Grove, CA, 92845-2006
person
Provider Profile Details
NPI Number
1518305168
Provider Name
Karlyssa Rae Chung
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
12556 Valley View St, Garden Grove, CA, 92845-2006
Phone Number
714-897-9355
Fax Number
714-897-5117
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA22611 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12556 Valley View St
City
State
Zip
92845-2006
Phone Number
714-897-9355
Fax Number
714-897-5117
person
Provider Business Mailing Address Details
Address
12556 Valley View St
City
State
Zip
92845-2006
Phone Number
714-897-9355
Fax Number
714-897-5117
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA22611 (California)
Definition
Definition to come...
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