Individual
DR. CHARLES JUNG CHAO KWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
65 N 1ST AVE, 204, ARCADIA, CA 91006-3207
(626) 786-7704
(626) 810-0113
Mailing address
PO BOX 883, MONTEREY PARK, CA 91754-0883
(626) 786-7704
(626) 810-0113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0281110
MEDICAL NUMBER
CA
01
—
DC28111
PPO NUMBER
CA
Enumeration date
07/05/2006
Last updated
07/08/2007
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