Individual provider Active NPI

Joseph C Chun, MD

  • Pain Medicine (Anesthesiology) Physician
  • Los Angeles, CA
National Provider Identifier
1104824697
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A31129 Issued in CA
Practice address
3030 W Olympic Blvd
#217
Los Angeles, CA 90006-6501
Phone
(213) 944-7123
Fax
(213) 483-7575
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A31129 CA Primary

Addresses

Primary practice location

3030 W Olympic Blvd
#217
Los Angeles, CA 90006-6501

Mailing address

PO Box 70211
Los Angeles, CA 90070-0211
Phone (213) 944-7123

Other identifiers 1

IdentifierTypeStateIssuer
00A311291MedicaidCA

Other names 1

  • Dr. Choo-Bong Chun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001234 CA Practitioner - Anesthesiology 9931002656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31129CAMDDentist
A31129CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph C Chun, MD, Inc Pain Medicine CurrentSince Nov 12, 2011 Accepting new patients
Samaritan Anesthesiology Medical Group CurrentSince Dec 7, 2009 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Taro Yokoyama, M.D., a Professional Corporation Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

321 N Larchmont Blvd
Ste 1011
Los Angeles, CA 90004
Phone (323) 860-7900

201 S Alvarado St
Ste 702
Los Angeles, CA 90057
Phone (213) 480-1475

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

3030 W Olympic Blvd
Ste 217
Los Angeles, CA 90006
Phone (213) 480-1475

Dept LA 24632
Pasadena, CA 91185

Organizations & group practices 6

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1104824697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900700211",
            "telephone_number": "213-944-7123",
            "fax_number": "213-483-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "#217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-944-7123",
            "fax_number": "213-483-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A31129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A311291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHOO-BONG",
            "last_name": "CHUN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.