Provider Demographics
NPI:1851311914
Name:JUNG, RANDAL G (DC)
Entity Type:Individual
Prefix:
First Name:RANDAL
Middle Name:G
Last Name:JUNG
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 1:1215 PLUMAS ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3456
Mailing Address - Country:US
Mailing Address - Phone:530-673-4839
Mailing Address - Fax:530-673-4829
Practice Address - Street 1:870 W ONSTOTT FRONTAGE RD STE A
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3500
Practice Address - Country:US
Practice Address - Phone:530-673-4839
Practice Address - Fax:530-673-4829
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor