Organization Active NPI

Myobalance Suh and Jung Chiropractic, Apc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1689440190
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Jongrak Jung, DC, LACNPI 1790179117
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.