Provider Demographics
NPI:1295617702
Name:CHUNG, LINDA (LAC, DAOM)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, DAOM
Mailing Address - Street 1:1400 N KRAEMER BLVD UNIT 613
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92871-1426
Mailing Address - Country:US
Mailing Address - Phone:949-878-5368
Mailing Address - Fax:
Practice Address - Street 1:505 W 1ST ST
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3004
Practice Address - Country:US
Practice Address - Phone:949-878-5368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20311171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist