Organization Active NPI

Wenche Chung, MD & Kuoting Lee, Lac a Professional Corporation

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1053046060
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WENCHE CHUNG, MD & KUOTING LEE, LAC A PROFESSIONAL CORPORATION
Practice address
909 S Santa Anita Ave Ste B
Arcadia, CA 91006-2363
Phone
(626) 464-6800
Fax
(626) 226-5858
NPI assigned
Jul 22, 2022
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wenche Chung, MDNPI 1891754149
Title
Dr.
Phone
(626) 710-8766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

909 S Santa Anita Ave Ste B
Arcadia, CA 91006-2363

Mailing address

2131 Homet Rd
San Marino, CA 91108-1325
Phone (626) 464-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227000271 CA Part B Supplier - Clinic/Group Practice 7618347188 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

909 S Santa Anita Ave
Arcadia, CA 91006
Phone (818) 445-5577

420 N Garfield Ave
Ste 206
Monterey Park, CA 91754
Phone (626) 375-7558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1053046060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HOMET RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081325",
            "telephone_number": "626-464-6800",
            "fax_number": "626-226-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S SANTA ANITA AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062363",
            "telephone_number": "626-464-6800",
            "fax_number": "626-226-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENCHE CHUNG, MD & KUOTING LEE, LAC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WENCHE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "626-710-8766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.