Provider Demographics
NPI:1720244676
Name:SUNG SIM CHIROPRACTIC AND ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:SUNG SIM CHIROPRACTIC AND ACUPUNCTURE INC.
Other - Org Name:VALLEY CHIROPRACTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUNG
Authorized Official - Middle Name:MO
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:213-480-0778
Mailing Address - Street 1:2675 W OLYMPIC BLVD
Mailing Address - Street 2:203
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2880
Mailing Address - Country:US
Mailing Address - Phone:213-480-0778
Mailing Address - Fax:213-480-7636
Practice Address - Street 1:2675 W OLYMPIC BLVD
Practice Address - Street 2:203
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2880
Practice Address - Country:US
Practice Address - Phone:213-480-0778
Practice Address - Fax:213-480-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD26932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty