Individual ProviderEliott ChungStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive South, Orange, CA 92868(949) 231-7652PECOS EnrollmentBased on the most recent information from CMS, provider Eliott Chung does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1144015413Provider TypeIndividualFull NameChung, EliottGenderMaleSole ProprietorNoEnumeration Date4/9/2025Last Updated4/9/2025Contact InformationPractice LocationPractice Address101 The City Drive South, Orange, CA 92868Phone(949) 231-7652FaxUnlisted FaxMailing LocationMailing Address101 The City Drive South, Rt40, Orange, CA 92868PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer