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Licensing details for: A 146115

Name: LUNDERVILLE, CHANTAL MARIE

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: David Geffen School of Medicine at UCLA

Graduation Year: 2015

Address of Record

1122 Bristol St
COSTA MESA CA 92626-7972
ORANGE county
Map

Issuance Date

November 17, 2016

Expiration Date

August 31, 2028

Current Date / Time

August 10, 2026
7:18:35 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
3
Primary Area of Practice
Family Medicine
Secondary Area of Practice
Not Applicable
ABMS Certifications
American Board of Family Medicine - Family Medicine
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 1-9 Hours
Percentage (%) of patient care hours spent on telehealth - 30
Training - 1-9 Hours
Research - None
Administration - 10-19 Hours
Other - None
Primary Practice Location
Decline to State
Secondary Practice Location
Decline to State
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
English
Spanish
Gender Identity
Female

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