Active NPI
Hong Tack Chung
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1144984048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19301
- Practice address
- 3255 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1405 - Phone
- (213) 235-2500
- NPI assigned
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19301 | CA | Primary |
Addresses
Primary practice location
3255 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1405
Mailing address
3727 W 6TH St Ste 210
Los Angeles, CA 90020-5108
Phone (213) 235-2500
Other practice location 1
404 Shatto Pl Apt 314
Los Angeles, CA 90020-1773
Phone (213) 284-2629
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19301 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Korean Health Education Information and Research Center | Current | Accepting new patients | |
| Jujube Wellness Inc | Acupuncturist | Current | Accepting new patients |
| Korean Health, Education, Information and Research Center | Past | Accepting new patients |
Locations
3255 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 235-1203
3727 W 6th St
Ste 210
Los Angeles, CA 90020
Phone (213) 235-2500
Organizations & group practices 3
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.
-
- Acupuncturist
- Westlake Village, CA
- NPI 1477416055
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1902568330
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1093562589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1144984048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3727 W 6TH ST STE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900205108",
"telephone_number": "213-235-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 WILSHIRE BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101405",
"telephone_number": "213-235-2500"
}
],
"practiceLocations": [
{
"address_1": "404 Shatto Pl Apt 314",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201773",
"country_code": "US",
"telephone_number": "213-284-2629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "HONG TACK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2023-10-17",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19301",
"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 Oct 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.