Soo Chun MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOO CHUN MD PC

Practice address

1878 E Hatch Rd
Modesto, CA 95351-5002

Phone

(415) 516-0779

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Soo C Chun, MD

Title

President

Phone

(415) 516-0779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1306484027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576649",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576649",
            "telephone_number": "209-573-3333",
            "fax_number": "209-844-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953515002",
            "telephone_number": "415-516-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO CHUN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-516-0779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Alyssa Solorzano
• Savindra Nalaka Somarathne
• Michael Anthony Somera
• Catherine Sook Song, MD
• Siqi Song, DO
• Ajay Sood, MD
• Shashi T Sood, MD
• Surendra J Sood, M.D.
• Rachelle Suzanne Soper, M.D
• Tanakorn Sopon, PHARM.D.

• Psychiatry Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.