Organization Active NPI

Jeung Chiropractic, Inc.

  • Chiropractor
  • Diamond Bar, CA
National Provider Identifier
1922259795
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30173 Issued in CA
Legal business name
JEUNG CHIROPRACTIC, INC.
Practice address
23341 Golden Springs Dr
Suite 210
Diamond Bar, CA 91765-2058
Phone
(909) 860-4307
Fax
(909) 860-1192
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Jong-Eul Jeung, D.C.
Title
President
Phone
(909) 860-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC30173 CA Primary

Addresses

Primary practice location

23341 Golden Springs Dr
Suite 210
Diamond Bar, CA 91765-2058

Mailing address

23341 Golden Springs Dr
Suite 210
Diamond Bar, CA 91765-2058
Phone (909) 860-4307

Other identifiers 1

IdentifierTypeStateIssuer
DC30173OtherCACALIFORNIA CHIROPRACTIC BOARD

National Provider Directory

National Provider Directory

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": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1922259795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR",
            "address_2": "SUITE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652058",
            "telephone_number": "909-860-4307",
            "fax_number": "909-860-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR",
            "address_2": "SUITE 210",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652058",
            "telephone_number": "909-860-4307",
            "fax_number": "909-860-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEUNG CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "JEUNG",
        "authorized_official_first_name": "JONG-EUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-860-4307",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHIROPRACTIC BOARD",
            "identifier": "DC30173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.