Provider Demographics
NPI:1669558623
Name:CHUNG, RACHMAN LEONARD (DC, DACNB)
Entity type:Individual
Prefix:DR
First Name:RACHMAN
Middle Name:LEONARD
Last Name:CHUNG
Suffix:
Gender:
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 VAN NESS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3022
Mailing Address - Country:US
Mailing Address - Phone:415-776-7040
Mailing Address - Fax:415-985-7375
Practice Address - Street 1:2000 VAN NESS AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3022
Practice Address - Country:US
Practice Address - Phone:415-776-7040
Practice Address - Fax:415-985-7375
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30161111N00000X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractor