Provider Demographics
NPI:1144380908
Name:CHUNG, YOUNG OH
Entity Type:Individual
Prefix:DR
First Name:YOUNG OH
Middle Name:
Last Name:CHUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N ALMONT DR UNIT 101
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1803
Mailing Address - Country:US
Mailing Address - Phone:213-215-2730
Mailing Address - Fax:310-424-2991
Practice Address - Street 1:150 N. ALMONT DRIVE ROOM 101
Practice Address - Street 2:
Practice Address - City:BEVERY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:213-215-2730
Practice Address - Fax:310-424-2991
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7877171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist