Individual
PATRICK CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
19853 WELBY WAY, WINNETKA, CA 91306-4340
(818) 964-5764
Mailing address
19853 WELBY WAY, WINNETKA, CA 91306-4340
(818) 964-5764
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76910
CA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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