Individual provider Active NPI

Chong Hee Chung, D.C.

  • Chiropractor
  • Buena Park, CA
National Provider Identifier
1639178270
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25420 Issued in CA
Practice address
4600 Beach Blvd Ste G
Buena Park, CA 90621-1166
Phone
(714) 736-5456
Fax
(714) 736-5461
NPI assigned
Jul 15, 2005
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25420 CA Primary

Addresses

Primary practice location

4600 Beach Blvd Ste G
Buena Park, CA 90621-1166

Mailing address

4600 Beach Blvd Ste G
Buena Park, CA 90621-1166
Phone (714) 736-5456

Other names 1

  • Christina Chung Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC25420CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Chung Chiropractic, Inc Chiropractor CurrentSince Apr 10, 2022 Accepting new patients

Locations

4600 Beach Blvd
Ste G
Buena Park, CA 90621
Phone (714) 736-5456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1639178270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BEACH BLVD STE G",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211166",
            "telephone_number": "714-736-5456",
            "fax_number": "714-736-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BEACH BLVD STE G",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211166",
            "telephone_number": "714-736-5456",
            "fax_number": "714-736-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CHONG",
        "middle_name": "HEE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CHUNG",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.