Look up the most recent NPI and PECOS records

Daniel Chung

Psychologist

Behavioral Health & Social Service Providers

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel Chung is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1578895348
Provider Type
Individual
Full Name
Chung, Daniel
Credential
PSY.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/4/2010
Last Updated
5/12/2025

Contact Information

Practice Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(909) 989-4055

Unlisted Fax

Mailing Location

8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852

(201) 370-5668

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer

Daniel Chung

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lupien, Christopher J

Gunn Behavioral Care Of California, Pc

Soriano, Marcel

Quinlan, John Richard

Dey, Brittany Wanland

Lupien, Charyeea Na'Chelle

Hudspeth, Nina Christine

Swan, June Angela

Goffman, Jerry M

Adhami, Sepideh