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NPI Code Detail

MEDICARE: DR. RICHARD HOON CHUNG D.C

MEDICARE:  DR. RICHARD HOON CHUNG  D.C
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
1111N00000XChiropractorDC25556CA

General Provider Information

NPI Number : 1316912769
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD HOON CHUNG D.C
Provider Business Mailing Address
First Line : 505 SHATTO PL
Second Line : #200
City : LOS ANGELES
State : CA
Zip : 90020-1705
Country : US
Telephone Number : 213-736-0450
Fax Number :
Provider Business Practice Location Address
First Line : 505 SHATTO PL
Second Line : #200
City : LOS ANGELES
State : CA
Zip : 90020-1705
Country : US
Telephone Number : 213-736-0450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/08/2007

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