Active NPI
Soon R Chung, R.PH.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1356476964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32816
- Practice address
- 1400 S Grand Ave Ste 100
Los Angeles, CA 90015-3048 - Phone
- (213) 746-4215
- Fax
- (213) 746-4465
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32816 | CA | Primary |
Addresses
Primary practice location
1400 S Grand Ave Ste 100
Los Angeles, CA 90015-3048
Mailing address
3534 E Longridge Dr
Orange, CA 92867-2021
Phone (714) 809-6829
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32816 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356476964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3534 E LONGRIDGE DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928672021",
"telephone_number": "714-809-6829",
"fax_number": "714-998-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GRAND AVE STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153048",
"telephone_number": "213-746-4215",
"fax_number": "213-746-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "SOON",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32816",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.