City of Monterey Park

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF MONTEREY PARK

Practice address

320 W Newmark Ave
Monterey Park, CA 91754-2818

Phone

(626) 307-1423

NPI assigned

Jun 27, 2005

Last updated

Dec 17, 2019By 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

Scott Haberle

Title

Fire Chief

Phone

(626) 307-1262

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1114923810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W NEWMARK AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W NEWMARK AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542818",
            "telephone_number": "626-307-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTEREY PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "HABERLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "626-307-1262"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590004273",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00354F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kwok Leung Chung, M.D.
• Oi Y. Chung, P.A.,N.P.
• Samuel Kwok-Kuen Chung, M.D.
• Tiffany M Chung
• Cindy Shu Medical Group, Inc.
• CJ Holdings Corporation (Clinton Lee Yang Ph.D. Incorporate)
• Clarity Medical Supply
• Christianna Clark
• Clear Choice Dental
• Clear Sight Optometry Corp

• Land Ambulance in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.