Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Chung

Individual provider Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1790423861

Michael Chung is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Re Active Physical Therapy and Wellness, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

11500 W Olympic Blvd Ste 640
Los Angeles, CA 90064-1525
Phone: (424) 225-1845
Fax: (310) 933-4803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081N0008X · Licence 302108 (CA)

Record details

NPI number1790423861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Re Active Physical Therapy And Wellness — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles