NPIMap

Organization Active NPI

Spine Solution Chung Chiropractic Inc.

  • Chiropractor
  • La Canada Flintridge, CA
National Provider Identifier
1922554625
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31391 Issued in CA
Legal business name
SPINE SOLUTION CHUNG CHIROPRACTIC INC.
Practice address
1039 Foothill Blvd.
La Canada Flintridge, CA 91011-3249
Phone
(818) 790-4011
Fax
(818) 790-4013
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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
(818) 669-2031

Specialties & licenses 1

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

Addresses

Primary practice location

1039 Foothill Blvd.
La Canada Flintridge, CA 91011-3249

Mailing address

1039 Foothill Blvd.
La Canada Flintridge, CA 91011-3249
Phone (818) 790-4011

Other names 1

  • Spine Solution Doing business as

National Provider Directory

National Provider Directory

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1922554625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 FOOTHILL BLVD.",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113249",
            "telephone_number": "818-790-4011",
            "fax_number": "818-790-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 FOOTHILL BLVD.",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113249",
            "telephone_number": "818-790-4011",
            "fax_number": "818-790-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOLUTION CHUNG CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YONG JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-669-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.