NPI 1174263354
Casey Chung
Practice location
- Address
- 26001 Redlands Blvd, Redlands, CA 92373-7762
- Phone
- (909) 825-7084
- Mailing address
- 11273 Terra Vista Pkwy APT D, Rancho Cucamonga, CA 91730-7417
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1174263354
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Mar 2022
- Record last updated
- 29 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.