MEDICARE: MR. HYUNG M SUNG DC

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	111N00000X	Chiropractor	DC26932	CA

General Provider Information

NPI Number	:	1184783789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HYUNG M SUNG DC

Provider Business Mailing Address
First Line	:	2675 W OLYMPIC BLVD
Second Line	:	203
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2810
Country	:	US
Telephone Number	:	213-480-0778
Fax Number	:	213-480-7636

Provider Business Practice Location Address
First Line	:	2675 W OLYMPIC BLVD
Second Line	:	203
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2810
Country	:	US
Telephone Number	:	213-480-0778
Fax Number	:	213-480-7636

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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