NPIMap

Organization Active NPI

Spine Solution Chung Chiropractic, Inc.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1730453606
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31391 Issued in CA
Legal business name
SPINE SOLUTION CHUNG CHIROPRACTIC, INC.
Practice address
2970 W Olympic Blvd # 303
Los Angeles, CA 90006-2518
Phone
(213) 388-4030
Fax
(213) 388-4034
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Dr. Yong Jae Chung, D.C.
Title
President
Phone
(213) 388-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-31391 CA Primary

Addresses

Primary practice location

2970 W Olympic Blvd # 303
Los Angeles, CA 90006-2518

Mailing address

2970 W Olympic Blvd # 303
Los Angeles, CA 90006-2518
Phone (213) 388-4030

Other names 1

  • Spine Solution Doing business as

National Provider Directory

National Provider Directory

Locations

2970 W Olympic Blvd
Ste 303
Los Angeles, CA 90006
Phone (213) 388-4030

2970 W Olympic Blvd
#303
Los Angeles, CA 90006
Phone (213) 388-4030

Practitioners & affiliated clinicians

Practitioners 4

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1730453606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD # 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-388-4030",
            "fax_number": "213-388-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD # 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-388-4030",
            "fax_number": "213-388-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOLUTION CHUNG CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YONG JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-388-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Solution",
            "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 Jul 21, 2015; 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.