Active NPI
Bryan Hyung Chung, D.M.D.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1215112362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50588
- Practice address
- 266 S. Harvard Blvd Ste 110
Los Angeles, CA 90004-4374 - Phone
- (213) 380-2727
- Fax
- (213) 380-2822
- NPI assigned
- Jan 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 50588 | CA | |
| General Practice Dentistry | 1223G0001X | 50588 | CA | Primary |
Addresses
Primary practice location
266 S. Harvard Blvd Ste 110
Los Angeles, CA 90004-4374
Mailing address
266 S. Harvard Blvd Ste110
Los Angeles, CA 90004-4374
Phone (213) 380-2727
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 |
|---|---|---|---|
| 50588 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan H Chung DMD Corp | General Practice | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1427899111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1215112362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 S. HARVARD BLVD STE110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044374",
"telephone_number": "213-380-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 S. HARVARD BLVD STE 110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044374",
"telephone_number": "213-380-2727",
"fax_number": "213-380-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "BRYAN",
"middle_name": "HYUNG",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50588",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50588",
"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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.