Provider Demographics
NPI:1407937725
Name:CHUN, EDWIN H (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:H
Last Name:CHUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1281 N DIAMOND BAR BLVD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-1151
Mailing Address - Country:US
Mailing Address - Phone:323-702-4348
Mailing Address - Fax:909-861-0952
Practice Address - Street 1:6503 GREENLEAF AVE STE D
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4138
Practice Address - Country:US
Practice Address - Phone:323-702-4348
Practice Address - Fax:909-861-0952
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor