Organization Active NPI

Sung-Nae Byun M D Medical Group Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1053317834
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61249 Issued in CA
Legal business name
SUNG-NAE BYUN M D MEDICAL GROUP INC
Practice address
2120 W 8TH St
Ste 102
Los Angeles, CA 90057-4019
Phone
(213) 382-2700
Fax
(213) 382-5077
NPI assigned
Jun 26, 2005
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Sung Nae Byun, M.D.
Title
Ceo
Phone
(213) 382-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61249 CA Primary

Addresses

Primary practice location

2120 W 8TH St
Ste 102
Los Angeles, CA 90057-4019

Mailing address

2120 W 8TH St
Ste 102
Los Angeles, CA 90057-4019
Phone (213) 382-2700

Other identifiers 1

IdentifierTypeStateIssuer
00A612490MedicaidCA

National Provider Directory

National Provider Directory

Locations

2323 W 8th St
#101
Los Angeles, CA 90057
Phone (213) 382-2700

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1053317834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574019",
            "telephone_number": "213-382-2700",
            "fax_number": "213-382-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574019",
            "telephone_number": "213-382-2700",
            "fax_number": "213-382-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG-NAE BYUN M D MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-26",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "NAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-382-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A612490",
            "state": "CA"
        }
    ],
    "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 Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.