Provider Demographics
NPI:1184783789
Name:SUNG, HYUNG M (DC)
Entity type:Individual
Prefix:MR
First Name:HYUNG
Middle Name:M
Last Name:SUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 W OLYMPIC BLVD
Mailing Address - Street 2:203
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2810
Mailing Address - Country:US
Mailing Address - Phone:213-480-0778
Mailing Address - Fax:213-480-7636
Practice Address - Street 1:2675 W OLYMPIC BLVD
Practice Address - Street 2:203
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2810
Practice Address - Country:US
Practice Address - Phone:213-480-0778
Practice Address - Fax:213-480-7636
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor