Dr. Chung Acupuncture Clinic, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12319 Issued in CA

Legal business name

DR. CHUNG ACUPUNCTURE CLINIC, INC.

Practice address

801 S Chevy Chase Dr
#104
Glendale, CA 91205-4431

Phone

(818) 517-6940

Fax

(818) 937-9335

NPI assigned

Jan 24, 2013

Last updated

Jan 24, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hyun Soo Chung, D.A.O.M.,L.AC.NPI 1568619310

Title

President

Phone

(818) 517-6940

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyun Soo Chung, L.AC.

  • Acupuncturist
  • Glendale, CA
  • NPI 1568619310
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1033457171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 LOWELL AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141636",
            "telephone_number": "818-517-6940",
            "fax_number": "818-937-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR",
            "address_2": "#104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-517-6940",
            "fax_number": "818-937-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHUNG ACUPUNCTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-517-6940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.A.O.M.,L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Glendale, CA
• Providers in Glendale, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.