MEDICARE: MAX CHUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	16442	CA

General Provider Information

NPI Number	:	1568841120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAX CHUNG

Provider Business Mailing Address
First Line	:	2560 W OLYMPIC BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2998
Country	:	US
Telephone Number	:	213-386-7575
Fax Number	:	213-386-7576

Provider Business Practice Location Address
First Line	:	2560 W OLYMPIC BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2998
Country	:	US
Telephone Number	:	213-386-7575
Fax Number	:	213-386-7576

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2015
Last Update Date	:	08/02/2022

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Directions to “ MAX CHUNG ” Practice Location

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