Mr Peter Su Jung, DC | |
520 N Brookhurst St, # 102, Anaheim, CA 92801-5227 | |
(714) 817-7444 | |
(888) 234-2363 |
Full Name | Mr Peter Su Jung |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 520 N Brookhurst St, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578648358 | NPI | - | NPPES |
11560202 | Other | CA | QH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC25977 (California) | Primary |
Provider Name | Peter Jung Chiropractic, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326383670 PECOS PAC ID: 3678725801 Enrollment ID: O20121214000105 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter Su Jung, DC 520 N Brookhurst St, # 102, Anaheim, CA 92801-5227 Ph: (714) 817-7444 | Mr Peter Su Jung, DC 520 N Brookhurst St, # 102, Anaheim, CA 92801-5227 Ph: (714) 817-7444 |
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