Active NPI
Soon Ho Chung
- Licensed Vocational Nurse
- Los Angeles, CA
National Provider Identifier
1013160258
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN89843
- Practice address
- 450 Bauchet St
Los Angeles, CA 90012-2907 - Phone
- (213) 893-5391
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN89843 | CA | Primary |
Addresses
Primary practice location
450 Bauchet St
Los Angeles, CA 90012-2907
Mailing address
450 Bauchet St
Los Angeles, CA 90012-2907
Phone (213) 893-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN89843 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1013160258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BAUCHET ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122907",
"telephone_number": "213-893-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BAUCHET ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122907",
"telephone_number": "213-893-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SOON",
"middle_name": "HO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN89843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.