Individual
CHONG KU CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC ACUPUNCTURIST
Contact information
Practice address
8741 VAN NUYS BLVD STE 101-102, PANORAMA CITY, CA 91402-2440
(818) 810-6888
(818) 810-0888
Mailing address
21710 DEVONSHIRE ST, CHATSWORTH, CA 91311-2903
(213) 864-1430
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 12348
STATE LICENSE
CA
Enumeration date
08/29/2008
Last updated
03/09/2023
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