Chungsuk Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53525 Issued in CA

Legal business name

CHUNGSUK MEDICAL GROUP, INC.

Practice address

103 Amethyst Cir
Gardena, CA 90248-3374

Phone

(310) 538-8679

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chung Hee Suk, MDNPI 1720232416

Title

President

Phone

(310) 538-8679

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chung Hee Suk, MD

  • Community Health Clinic/Center
  • Gardena, CA
  • NPI 1720232416
  NPD (past) Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083659908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 AMETHYST CIR",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483374",
            "telephone_number": "310-538-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 AMETHYST CIR",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483374",
            "telephone_number": "310-538-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNGSUK MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUK",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-8679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uche Austine Chukwudi, M.D.
• Chuma Nwako (Pacifica Medical Supplies)
• Marl Soon Chung, D.D.S.
• Nari Y Chung
• Tae Sub Chung, DDS
• Grace Anne Churchill
• Ruby Ciau Canul
• Samantha Joann Cifuentes
• Marie Louise Cimbora, MA CCC-SLP
• Erick Cintora

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.