Individual provider Active NPI

Christina Soojung Ryou, PA

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1477200152
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67554 Issued in CA
Practice address
3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone
(562) 496-4749
Fax
(562) 429-3329
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67554 CA Primary

Addresses

Primary practice location

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145

Mailing address

2526 Associated Rd Apt 9
Fullerton, CA 92835-3240

Other practice location 1

1850 S Azusa Ave Ste 206
Hacienda Heights, CA 91745-6853
Phone (626) 810-5450

Other practice location 2

207 S Santa Anita St Ste 335
San Gabriel, CA 91776-1160
Phone (760) 941-4444

Other practice location 3

23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone (310) 833-1334

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000689 CA Practitioner - Physician Assistant 8921470451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians
Lawndale Christian Health CenterGroup PAC ID 2264336346, shared by 7 NPIs, 124 clinicians

Practice addresses (Care Compare)

23600 Telo Ave
Suite 130
Torrance, CA 90505-4036
Phone (310) 833-1334

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone (872) 588-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67554CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawndale Christian Health Center Current Accepting new patients
Lawndale Christian Health Center Current Accepting new patients
Lawndale Christian Health Center CurrentSince Nov 16, 2022 Accepting new patients
Modena Allergy & Asthma Inc. PastSince Apr 29, 2026 Accepting new patients

Locations

3860 W Ogden Ave
Chicago, IL 60623
Phone (872) 588-3000

4696 Paysphere Cir
Chicago, IL 60674

Interoperability endpoints

  • Direct secure messaging: cryou691044@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1477200152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 ASSOCIATED RD APT 9",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-496-4749",
            "fax_number": "562-429-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 S Azusa Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917456853",
            "country_code": "US",
            "telephone_number": "626-810-5450",
            "fax_number": "626-810-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 S Santa Anita St Ste 335",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917761160",
            "country_code": "US",
            "telephone_number": "760-941-4444",
            "fax_number": "760-941-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23600 Telo Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054036",
            "country_code": "US",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYOU",
        "first_name": "CHRISTINA",
        "middle_name": "SOOJUNG",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.