Healthcare Provider Details

I. General information

NPI: 1255761367
Provider Name (Legal Business Name): MYUNG SIM DANG CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11867 ARTESIA BLVD
ARTESIA CA
90701-4002
US

IV. Provider business mailing address

11867 ARTESIA BLVD
ARTESIA CA
90701-4002
US

V. Phone/Fax

Practice location:
  • Phone: 562-809-2535
  • Fax: 562-809-7714
Mailing address:
  • Phone: 562-809-2535
  • Fax: 562-809-7714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberDC 24437
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN KANG
Title or Position: PRESIDENT
Credential: D.C
Phone: 562-809-2535