Active NPI
Myobalance Suh and Jung Chiropractic, Apc
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1689440190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MYOBALANCE SUH AND JUNG CHIROPRACTIC, APC
- Practice address
- 3544 W Olympic Blvd # 101
Los Angeles, CA 90019-3500 - Phone
- (213) 913-5279
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jongrak Jung, DC, LAC
- Title
- President
- Phone
- (213) 913-5279
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X |
Addresses
Primary practice location
3544 W Olympic Blvd # 101
Los Angeles, CA 90019-3500
Mailing address
3544 W Olympic Blvd # 101
Los Angeles, CA 90019-3500
Phone (213) 913-5279
Other names 1
- Myobalance
National Provider Directory
National Provider DirectoryLocations
3544 W Olympic Blvd
#101
Los Angeles, CA 90019
Phone (206) 966-1600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Los Angeles, CA
- NPI 1790179117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1689440190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 W OLYMPIC BLVD # 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193500",
"telephone_number": "213-913-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 W OLYMPIC BLVD # 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193500",
"telephone_number": "213-913-5279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYOBALANCE SUH AND JUNG CHIROPRACTIC, APC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "JONGRAK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-913-5279",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, LAC"
},
"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": "Myobalance",
"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 Nov 27, 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.