Soo Marn Chung, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A41090 Issued in CA

Practice address

11480 Brookshire Ave Ste 309
Downey, CA 90241-5025

Phone

(562) 869-1201

Fax

(562) 869-1281

NPI assigned

Apr 7, 2006

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anaheim Global Medical Center, Inc

  dba Anaheim Global Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1790778488
  NPD (past)
• St Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1245293729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 800",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032671",
            "telephone_number": "562-735-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 309",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415025",
            "telephone_number": "562-869-1201",
            "fax_number": "562-869-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 Garden Grove Blvd",
            "address_2": "suite #309",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928431902",
            "country_code": "US",
            "telephone_number": "714-539-6414",
            "fax_number": "714-539-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SOO",
        "middle_name": "MARN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A41090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Chun, PHARMD
• Amy Chung
• Katherine Pey-Shan Chung, MD
• Kathy Chung
• Mee Chung
• Sun Ho Chung, MS, RD
• Woo Chung, DC
• Cielo Behavior Services Inc. (Cielo Behavior Services)
• Heather Cigas, PT, DPT
• Joe Barry Cimafranca, R.P.T.

• Hematology & Oncology Physician in Downey, CA
• Providers in Downey, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.