Active NPI
NA Eun Chung D.M.D. Inc.
- Dentist
- Los Angeles, CA
National Provider Identifier
1093314239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.