Provider Demographics
NPI:1386813384
Name:CHUN, DANIEL S (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:CHUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4340 STEVENS CREEK BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1122
Mailing Address - Country:US
Mailing Address - Phone:408-260-8292
Mailing Address - Fax:408-260-8282
Practice Address - Street 1:4340 STEVENS CREEK BLVD STE 170
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-1122
Practice Address - Country:US
Practice Address - Phone:408-260-8292
Practice Address - Fax:408-260-8282
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor