Individual provider Active NPI

Jun Chung, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1205190659
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A135724 Issued in CA
Practice address
3000 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2588
Phone
(213) 674-7500
Fax
(213) 900-7651
NPI assigned
Jun 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A135724 CA Primary

Addresses

Primary practice location

3000 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2588

Mailing address

3000 W Olympic Blvd Ste 203
Los Angeles, CA 90006-2588
Phone (213) 674-7500

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
I20170120001853 CA Practitioner - Internal Medicine 1254613524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3000 W Olympic Blvd
Suite 203
Los Angeles, CA 90006-2588
Phone (213) 674-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135724CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonah Medical Group, Inc. Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Jun Chung M.D., Inc CurrentSince Feb 1, 2023 Accepting new patients
The Huntington Medical Foundation Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

3663 W 6th St
Ste 103
Los Angeles, CA 90020
Phone (213) 388-5144

866 S Westmoreland Ave
Ste 101
Los Angeles, CA 90005
Phone (213) 380-2266

3000 W Olympic Blvd
Ste 203
Los Angeles, CA 90006
Phone (213) 674-7500

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jun.chung@831895437770756.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1205190659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 W OLYMPIC BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062588",
            "telephone_number": "213-674-7500",
            "fax_number": "213-900-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W OLYMPIC BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062588",
            "telephone_number": "213-674-7500",
            "fax_number": "213-900-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.