Purun Spine And Arthro Clinic | |
2140 W Olympic Blvd, Suite 405, Los Angeles, CA 90006-2207 | |
(323) 939-0807 | |
(213) 674-7908 |
Full Name | Purun Spine And Arthro Clinic |
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Type | Facility |
Speciality | Chiropractor - Independent Medical Examiner |
Location | 2140 W Olympic Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316317902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NI0013X | Chiropractor - Independent Medical Examiner | 24102 (California) | Primary |
Provider Name | Soungdon Chung |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942477229 PECOS PAC ID: 7113929175 Enrollment ID: I20151014003426 |
Mailing Address | Practice Location Address |
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Purun Spine And Arthro Clinic 2140 W. Olympic Blvd.,, Suite 405, Los Angeles, CA 90006 Ph: (323) 939-0807 | Purun Spine And Arthro Clinic 2140 W Olympic Blvd, Suite 405, Los Angeles, CA 90006-2207 Ph: (323) 939-0807 |
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