Provider Demographics
NPI:1720316862
Name:CHUNG, CHRISTIAN EUNSUNG (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:EUNSUNG
Last Name:CHUNG
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 1:9701 S TACOMA WAY STE 106
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-4490
Mailing Address - Country:US
Mailing Address - Phone:253-588-8340
Mailing Address - Fax:253-588-8341
Practice Address - Street 1:9701 S TACOMA WAY STE 106
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-4490
Practice Address - Country:US
Practice Address - Phone:253-588-8340
Practice Address - Fax:253-588-8341
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor