Provider Demographics
NPI:1588341598
Name:CHUNG, ALAN C (DAC, LAC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:C
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 E DALEY LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7343
Mailing Address - Country:US
Mailing Address - Phone:480-371-8284
Mailing Address - Fax:
Practice Address - Street 1:8617 W UNION HILLS DR STE 100
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-7001
Practice Address - Country:US
Practice Address - Phone:623-977-2304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-012168171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist