Individual provider Active NPI

Aaron Chung

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1104524560
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108334 Issued in CA
Practice address
733 New High St
Los Angeles, CA 90012-4611
Phone
(213) 680-2808
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 108334 CA Primary

Addresses

Primary practice location

733 New High St
Los Angeles, CA 90012-4611

Mailing address

733 New High St Ste a
Los Angeles, CA 90012-4612
Phone (213) 680-2808

Other practice location 1

1013 S Glendora Ave
West Covina, CA 91790-4921
Phone (626) 960-6993

Other practice location 2

911 S Garfield Ave
Alhambra, CA 91801-4442
Phone (626) 284-0908

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

LicenseStateTypeSpecialty
108334CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xiao-Pang Cai Dental Corp. CurrentSince Feb 19, 2023 Accepting new patients
Joseph G Huang DDS Inc Past Accepting new patients

Locations

733 New High St
Ste A
Los Angeles, CA 90012
Phone (213) 680-2808

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1104524560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 NEW HIGH ST STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124612",
            "telephone_number": "213-680-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 NEW HIGH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124611",
            "telephone_number": "213-680-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Glendora Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917904921",
            "country_code": "US",
            "telephone_number": "626-960-6993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 S Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918014442",
            "country_code": "US",
            "telephone_number": "626-284-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108334",
            "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 Feb 17, 2023; 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.