Active NPI
Chong Hee Chung, D.C.
- Chiropractor
- Buena Park, CA
National Provider Identifier
1639178270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25420
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC25420 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Chung Chiropractic, Inc | Chiropractor | Current | 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.