Provider Demographics
NPI:1124247564
Name:SUNG, UK-JE (DC)
Entity type:Individual
Prefix:
First Name:UK-JE
Middle Name:
Last Name:SUNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:
Other - Last Name:SUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2725 EL CAMINO REAL
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3000
Mailing Address - Country:US
Mailing Address - Phone:408-261-0808
Mailing Address - Fax:
Practice Address - Street 1:2725 EL CAMINO REAL
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-3000
Practice Address - Country:US
Practice Address - Phone:408-261-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor