MEDICARE: CHUNG CHIROPRACTIC CORPORATION

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	DC 26615	CA

General Provider Information

NPI Number	:	1538497409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHUNG CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	1960 DEL PASO RD
Second Line	:	SUITE 145
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-7708
Country	:	US
Telephone Number	:	916-285-9387
Fax Number	:	916-285-9355

Provider Business Practice Location Address
First Line	:	1960 DEL PASO RD
Second Line	:	SUITE 145
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-7708
Country	:	US
Telephone Number	:	916-285-9387
Fax Number	:	916-285-9355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEKSANDER CHUNG
Credential	:	D.C.
Telephone Number	:	916-285-9387

Provider Enumeration Date	:	12/03/2009
Last Update Date	:	12/03/2009

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Directions to “CHUNG CHIROPRACTIC CORPORATION ” Practice Location

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