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DR. TOM SUNGHOON CHUNG DC
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1942501218
Individual Registrant:DR. TOM SUNGHOON CHUNG DC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
18575 GALE AVE STE 206 CITY OF INDUSTRY, CA 91748-1383 US
Tel: 626-369-9663 Fax: 877-400-0565
Tel: 626-369-9663 Fax: 877-400-0565
Contact information for business:
18575 GALE AVE STE 206 CITY OF INDUSTRY, CA 91748-1383 US
Tel: 626-369-9663 Fax: 877-400-0565
Tel: 626-369-9663 Fax: 877-400-0565
Registration Information:
NPI: 1942501218
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC31820 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CA DRIVER'S LICENSE NUMBER | A5631732 | CA | 01 |
