Gloria Chung, D.O., Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GLORIA CHUNG, D.O., INC

Practice address

1101 E Holt Ave Ste G
Pomona, CA 91767-5800

Phone

(909) 632-0895

Fax

(909) 620-8193

NPI assigned

Jul 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Chung, DO

Title

President

Phone

(909) 632-0895

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Ha Phuoc Chung, D.O.

  • Pediatrics Physician
  • Pomona, CA
  • NPI 1134362205
  NPD

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1215773544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E HOLT AVE STE G",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675800",
            "telephone_number": "909-632-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E HOLT AVE STE G",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675800",
            "telephone_number": "909-632-0895",
            "fax_number": "909-620-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA CHUNG, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-632-0895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134362205",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anisa Glass
• Mara Glenn, MSW
• Mikayla Glispie
• Global Health Education & Information Services Inc. (San Antonio Community Clinic Inc.)
• Global Health Education & Information Services Inc. (San Antonio Community Health Center)
• Daniel Peter Gluckstein, M.D.
• Amber Nicole Go
• Rouenh Jane Gonzales Goce, FNP-C
• Emily A Gochez
• Antonia Godinez

• Pediatrics Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.