| NPI | 1508305137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE CHUNG Co Owner 551-265-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY x012920) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x012520) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |