Individual ProviderDaniel ChungPsychologistBehavioral Health & Social Service ProvidersPractice Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852(909) 989-4055(201) 370-5668PECOS EnrollmentBased on the most recent information from CMS, provider Daniel 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 3 days ago.Profile DetailsProvider ID1578895348Provider TypeIndividualFull NameChung, DanielCredentialPSY.D.GenderMaleSole ProprietorYesEnumeration Date2/4/2010Last Updated5/12/2025Contact InformationPractice LocationPractice Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852Phone(909) 989-4055FaxUnlisted FaxMailing LocationMailing Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852Phone(201) 370-5668FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer