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Individual

MR. CHUNG HAN SUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
1025 WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 813-1957
(626) 813-1472
Mailing address
1025 WILLOW AVE, LA PUENTE, CA 91746-1617
(626) 813-1957
(626) 813-1472

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5284
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171100000X
ACUPUNCTURE
CA
Enumeration date
03/06/2009
Last updated
03/06/2009
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