Provider Demographics
NPI:1811562028
Name:SUNG, EUGENE (DC, PA-C)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:
Last Name:SUNG
Suffix:
Gender:M
Credentials:DC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 WILSHIRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1967
Mailing Address - Country:US
Mailing Address - Phone:310-432-8900
Mailing Address - Fax:310-432-8901
Practice Address - Street 1:8900 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1967
Practice Address - Country:US
Practice Address - Phone:310-432-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2025-09-19
Deactivation Date:2021-05-18
Deactivation Code:
Reactivation Date:2021-05-21
Provider Licenses
StateLicense IDTaxonomies
CAPA59264363A00000X, 363A00000X
CA30886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No111N00000XChiropractic ProvidersChiropractor