Organization Active NPI

Chirobalance Dr. Jung Chiropractic & Acupuncture Clinic, Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1326700576
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROBALANCE DR. JUNG CHIROPRACTIC & ACUPUNCTURE CLINIC, INC
Practice address
3435 Wilshire Blvd Ste 2311
Los Angeles, CA 90010-1901
Phone
(206) 966-1600
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Jongrak Jung, D.CNPI 1790179117
Title
President
Phone
(206) 966-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

3435 Wilshire Blvd Ste 2311
Los Angeles, CA 90010-1901

Mailing address

909 W Temple St Apt 524
Los Angeles, CA 90012-4441
Phone (206) 966-1600

Other names 1

  • CHIROBALANCE & ACUPUNCTURE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1326700576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W TEMPLE ST APT 524",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124441",
            "telephone_number": "206-966-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WILSHIRE BLVD STE 2311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101901",
            "telephone_number": "206-966-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROBALANCE DR. JUNG CHIROPRACTIC & ACUPUNCTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JONGRAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-966-1600",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIROBALANCE & ACUPUNCTURE",
            "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 Aug 1, 2023; 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.