Chung, Ilseon
Chung, Ilseon is an sole proprietor health care provider with primary practice located at 4943 La Palma Ave Ste D , La Palma CA 90623-2020. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Chung, Ilseon can be contacted via phone (562) 924-5230.Contact Information
Primary practice address
4943 La Palma Ave Ste D
La Palma CA 90623-2020
Phone: (562) 924-5230
Fax: (562) 924-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC3260 | California |
Profile Details
| NPI number | 1518187657 |
|---|---|
| LBN Legal business name | Chung, Ilseon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2007 |
| Last updated | Feb 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518187657 | NPPES |
| California | MEDICAID | AC0032600 |
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