Provider Demographics
NPI:1093794646
Name:CHUNG, ALEKSANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDER
Middle Name:
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1960 DEL PASO RD
Mailing Address - Street 2:#145
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7708
Mailing Address - Country:US
Mailing Address - Phone:916-285-9387
Mailing Address - Fax:916-285-9355
Practice Address - Street 1:1960 DEL PASO RD
Practice Address - Street 2:#145
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7708
Practice Address - Country:US
Practice Address - Phone:916-285-9387
Practice Address - Fax:916-285-9355
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3626111N00000X
CA26615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor