Provider Demographics
NPI:1669184271
Name:CHUN CHIROPRACTIC CLINIC, INC.
Entity type:Organization
Organization Name:CHUN CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-698-7161
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:213-321-7572
Mailing Address - Fax:
Practice Address - Street 1:13601 WHITTIER BLVD STE 209
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-4436
Practice Address - Country:US
Practice Address - Phone:562-698-7161
Practice Address - Fax:562-698-7276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service