Active NPI
Sung Jeen Hong, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1235155151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A34082
- Practice address
- 3000 W Olympic Blvd
Suite 304
Los Angeles, CA 90006 - Phone
- (213) 380-1122
- Fax
- (213) 480-4800
- NPI assigned
- Jul 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A34082 | CA | Primary |
Addresses
Primary practice location
3000 W Olympic Blvd
Suite 304
Los Angeles, CA 90006
Mailing address
3000 W Olympic Blvd
Suite 304
Los Angeles, CA 90006
Phone (213) 380-1122
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34082 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324771200000",
"number": "1235155151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 W OLYMPIC BLVD",
"address_2": "SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-380-1122",
"fax_number": "213-480-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 W OLYMPIC BLVD",
"address_2": "SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-380-1122",
"fax_number": "213-480-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "SUNG",
"middle_name": "JEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2011-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A34082",
"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 Dec 25, 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.