CKC Acupuncture, Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12009 Issued in CA

Legal business name

CKC ACUPUNCTURE, INC

Practice address

8741 Van Nuys Blvd
Suite 102
Panorama City, CA 91402-2440

Phone

(818) 894-4785

Fax

(818) 894-6061

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Miss Chong Ku Chun, LACNPI 1588812739

Title

President

Phone

(818) 894-4785

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chong Ku Chun, LAC ACUPUNCTURIST

  • Acupuncturist
  • Panorama City, CA
  • NPI 1588812739
  NPD (past) Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1134360209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022440",
            "telephone_number": "818-894-4785",
            "fax_number": "818-894-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 VAN NUYS BLVD",
            "address_2": "SUITE 102",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022440",
            "telephone_number": "818-894-4785",
            "fax_number": "818-894-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKC ACUPUNCTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "KU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-894-4785",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC12348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delphine Chung, MD
• In-Kook Chung, MD
• Young K. Chung, MD
• Brenda Jeanette Cisneros
• Civana Treatment Center Inc
• James Robert Clark
• Russell J. Clayton, MD
• Mary Bernadette Acuna Coburn, NP
• Amanda Lynne Coffey
• Deborah Cohen

• Acupuncturist in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.