Organization Active NPI

Chia Jen Chung, MD, Inc.

Doing business as Laurel Heights Plastic Surgery

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1164729927
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A91498 Issued in CA
Legal business name
CHIA JEN CHUNG, MD, INC.
Doing business as
Laurel Heights Plastic Surgery
Practice address
390 Laurel St Ste 205
San Francisco, CA 94118-1953
Phone
(415) 771-7710
Fax
(415) 771-7707
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Chia Jen Chung, M.D.NPI 1427189471
Title
Plastic Surgeon
Phone
(415) 771-7710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A91498 CA Primary

Addresses

Primary practice location

390 Laurel St Ste 205
San Francisco, CA 94118-1953

Mailing address

390 Laurel St Ste 205
San Francisco, CA 94118-1953
Phone (415) 771-7710

Other names 1

  • Laurel Heights Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

390 Laurel St
Ste 205
San Francisco, CA 94118
Phone (415) 771-7710

Practitioners & affiliated clinicians

Practitioners 2

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": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1164729927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LAUREL ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-771-7710",
            "fax_number": "415-771-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LAUREL ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181953",
            "telephone_number": "415-771-7710",
            "fax_number": "415-771-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIA JEN CHUNG, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CHIA",
        "authorized_official_middle_name": "JEN",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "415-771-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A91498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Heights Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.