MEDICARE: CHUN CHIROPRACTIC, P.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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1902437890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHUN CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	1216 E YORBA LINDA BLVD
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3832
Country	:	US
Telephone Number	:	714-644-8819
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 E YORBA LINDA BLVD
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3832
Country	:	US
Telephone Number	:	714-644-8819
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDWARD CHUN
Credential	:	DC
Telephone Number	:	714-592-9109

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	01/29/2020

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