Chong Ku Chun, LAC ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 12348 Issued in CA

Practice address

8741 Van Nuys Blvd Ste 101-102
Panorama City, CA 91402-2440

Phone

(818) 810-6888

Fax

(818) 810-0888

NPI assigned

Aug 29, 2008

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CKC Acupuncture, Inc

  • Acupuncturist
  • Panorama City, CA
  • NPI 1134360209
  NPD (past) Authorized official

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1588812739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 DEVONSHIRE ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112903",
            "telephone_number": "213-864-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8741 VAN NUYS BLVD STE 101-102",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022440",
            "telephone_number": "818-810-6888",
            "fax_number": "818-810-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "CHONG",
        "middle_name": "KU",
        "credential": "LAC ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 12348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC 12348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Christian, PHARMD
• Christopher Zito, M.D., FCCP, Inc
• Reema Chugh, MD
• Nkemdirim Chukwumerije, MD
• Adam G Chun, MD
• Anna Hyunhee Chung, PHARM.D
• Delphine Chung, MD
• In-Kook Chung, MD
• Young K. Chung, MD
• Brenda Jeanette Cisneros

• 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 Mar 9, 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.