MEDICARE: UNITY MEDICAL CENTER

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	FNP18239	CA

General Provider Information

NPI Number	:	1700090248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	8805 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-4535
Country	:	US
Telephone Number	:	310-855-7546
Fax Number	:	310-855-0290

Provider Business Practice Location Address
First Line	:	8805 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-4535
Country	:	US
Telephone Number	:	310-855-7546
Fax Number	:	310-855-0290

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. SAMUEL K K CHUNG
Credential	:	MD
Telephone Number	:	310-855-7546

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/22/2020

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