MEDICARE: JOEY C CHUANG 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
1	111N00000X	Chiropractor	DC30550	CA

General Provider Information

NPI Number	:	1962521286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEY C CHUANG D.C.

Provider Business Mailing Address
First Line	:	1722 DESIRE AVE STE 205
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2970
Country	:	US
Telephone Number	:	626-581-3578
Fax Number	:	626-581-3450

Provider Business Practice Location Address
First Line	:	1722 DESIRE AVE STE 205
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-2970
Country	:	US
Telephone Number	:	626-581-3578
Fax Number	:	626-581-3450

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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Directions to “ JOEY C CHUANG D.C.” Practice Location

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