Alex Kiwook Sung, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT303748 Issued in CA

Practice address

7755 Center Ave
Huntington Beach, CA 92647-3007

Phone

(714) 372-2207

NPI assigned

May 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alex Kiwook Sung Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Performance Physical Therapy, Inc.Group PAC ID 7810163573, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Performance Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Newport Beach, CA
  • NPI 1871878041
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1255020095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 KILKENNY CT UNIT 205",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386296",
            "telephone_number": "909-247-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473007",
            "telephone_number": "714-372-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Corporate Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607918",
            "country_code": "US",
            "telephone_number": "949-759-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNG",
        "first_name": "ALEX",
        "middle_name": "KIWOOK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT303748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "SUNG",
            "middle_name": "KIWOOK",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Summit Neurology Inc
• Sun Medical Group Huntington Inc
• Sun Surgery Center Huntington LLC
• Alice C Sun, D.D.S.
• Suncoast Pharmacy, Inc.
• Nahyun Sung
• Marvin Louie Sunpongco, PMHNP
• Sunset Beach Concierge Physical Therapy Inc
• Sunset Physical Therapy Corporation
• Supervista North America

• Physical Medicine & Rehabilitation Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.