Provider Demographics
NPI:1770020174
Name:SUNG, JONATHAN CHIA-AN (ATC, CSCS, CES)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:CHIA-AN
Last Name:SUNG
Suffix:
Gender:M
Credentials:ATC, CSCS, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5800 FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY GLEN
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4062
Mailing Address - Country:US
Mailing Address - Phone:818-947-2323
Mailing Address - Fax:818-947-2560
Practice Address - Street 1:5800 FULTON AVE
Practice Address - Street 2:
Practice Address - City:VALLEY GLEN
Practice Address - State:CA
Practice Address - Zip Code:91401-4062
Practice Address - Country:US
Practice Address - Phone:818-947-2323
Practice Address - Fax:818-947-2560
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer