Organization Active NPI

Tom Chung Optimum Chiropractic, Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1205469764
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOM CHUNG OPTIMUM CHIROPRACTIC, INC
Doing business as
Optimum Chiropractic
Practice address
3727 W 6TH St Ste 616
Los Angeles, CA 90020-5111
Phone
(213) 568-3010
Fax
(213) 568-3575
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Tom Sunghoon Chung, DC
Title
Ceo
Phone
(213) 568-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3727 W 6TH St Ste 616
Los Angeles, CA 90020-5111

Mailing address

3727 W 6TH St Ste 616
Los Angeles, CA 90020-5111
Phone (213) 568-3010

Other names 1

  • Optimum Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3727 W 6th St
Ste 616
Los Angeles, CA 90020
Phone (213) 568-3010

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1205469764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 616",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "213-568-3010",
            "fax_number": "213-568-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 616",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "213-568-3010",
            "fax_number": "213-568-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM CHUNG OPTIMUM CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "SUNGHOON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-568-3010",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.