Active NPI
Sung In, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1073802237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34797
- Practice address
- 1200 N State St
Rehabilitation/Physical Medicine
Los Angeles, CA 90033-1029 - Phone
- (323) 409-7437
- NPI assigned
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34797 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Rehabilitation/Physical Medicine
Los Angeles, CA 90033-1029
Mailing address
19428 De Havilland CT
Saratoga, CA 95070-4040
Phone (213) 447-5089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34797 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1073802237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19428 DE HAVILLAND CT",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704040",
"telephone_number": "213-447-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "REHABILITATION/PHYSICAL MEDICINE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IN",
"first_name": "SUNG",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34797",
"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 Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.