Soungdon Chung, D.C

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

DC24102 Issued in CA

Practice address

2140 W. Olympic Blvd
Suite 405
Los Angeles, CA 90006

Phone

(323) 939-0807

Fax

(213) 674-7908

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Purun Spine and Arthro Clinic

  • Independent Medical Examiner Chiropractor
  • Los Angeles, CA
  • NPI 1316317902
  Medicare reassignment NPD Authorized official
• SPC Capital LLC

  dba Las Vegas Specialty Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1194775403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1942477229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W OLYMPIC BLVD 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062208",
            "telephone_number": "323-939-0807",
            "fax_number": "213-674-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W. OLYMPIC BLVD",
            "address_2": "SUITE 405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "323-939-0807",
            "fax_number": "213-674-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SOUNGDON",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC24102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shina Chung, AUD
• Sookyoung Chung
• Soon Ho Chung
• Soon K Chung, DACN,L.AC
• Soon R Chung, R.PH.
• Thomas Kenwise Chung, M.D.
• Tong Soon Chung, L.AC.
• Wanmi Chung
• Wen-Hsiang Chung, M.D.
• William Chung

• Independent Medical Examiner Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Independent Medical Examiner Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.