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General NPI Number Information
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NPI Number | 1598241937
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Entity Type | Individual
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Provider Name | ELLA Y CHUNG ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1225 W 190TH ST STE 425
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City | GARDENA
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State | CA
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Zip | 90248-4340
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Country | US
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Telephone | 213-369-7574
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 W 219TH ST APT 202
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City | TORRANCE
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State | CA
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Zip | 90501-3890
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Country | US
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Telephone | 213-369-7574
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC14065
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License Number State | CA
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