Samuel Chiho Jung

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA 7369 Issued in CA

Practice address

1441 W Beverly Blvd
Monebello, CA 90640

Phone

(323) 727-2992

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Taeyoung Celina Corporation

  • Hearing Instrument Specialist
  • Covina, CA
  • NPI 1558917328
  NPD (past)
• Taeyoung Hearing Center

  dba Beltone Southern California

  • Hearing Instrument Specialist
  • Fullerton, CA
  • NPI 1598996969
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1174758916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E. BASTANCHURY ROAD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352782",
            "telephone_number": "714-672-9445",
            "fax_number": "714-672-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W BEVERLY BLVD",
            "city": "MONEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-727-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SAMUEL",
        "middle_name": "CHIHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA 7369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.