Organization Active NPI

NA Eun Chung D.M.D. Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1093314239
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NA EUN CHUNG D.M.D. INC.
Practice address
3123 W Olympic Blvd
Los Angeles, CA 90006-2462
Phone
(213) 487-5961
Fax
(213) 487-5962
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Dr. NA Eun Chung
Title
Owner
Phone
(714) 308-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3123 W Olympic Blvd
Los Angeles, CA 90006-2462

Mailing address

3123 W Olympic Blvd
Los Angeles, CA 90006-2462
Phone (213) 487-5961

National Provider Directory

National Provider Directory

Locations

3123 W Olympic Blvd
Los Angeles, CA 90006
Phone (213) 487-5961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1093314239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062462",
            "telephone_number": "213-487-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062462",
            "telephone_number": "213-487-5961",
            "fax_number": "213-487-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NA EUN CHUNG D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "NA EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-308-9413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Sep 27, 2021; 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.