Provider Demographics
NPI:1275374894
Name:DR KWUN MAN SIMON YU CHIROPRACTIC APC
Entity type:Organization
Organization Name:DR KWUN MAN SIMON YU CHIROPRACTIC APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KWUN MAN SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-328-3246
Mailing Address - Street 1:855 N LARK ELLEN AVE STE M
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1099
Mailing Address - Country:US
Mailing Address - Phone:626-878-5233
Mailing Address - Fax:626-779-9225
Practice Address - Street 1:855 N LARK ELLEN AVE STE M
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1099
Practice Address - Country:US
Practice Address - Phone:626-878-5233
Practice Address - Fax:626-779-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty