NPI 1144180035

Jacob Thomas Chung, PTDPT

Practitioner Physical Therapist Lake Forest, CA

Practice location

Address: 24301 Muirlands Blvd, Lake Forest, CA 92630-3627
Phone: (949) 271-0012
Fax: (949) 271-0013
Mailing address: 3230 E Imperial Hwy STE 100, Brea, CA 92821-6735

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 309116 (CA)

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Registry record

NPI: 1144180035
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Nov 2025
Record last updated: 13 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.