Active NPI
Geemee Chung, M.D.
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1497783484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A65245
- Practice address
- 8635 W 3Rd St
Suite 1180W
Los Angeles, CA 90048-6101 - Phone
- (310) 358-2300
- Fax
- (310) 358-2308
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A65245 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St
Suite 1180W
Los Angeles, CA 90048-6101
Mailing address
8635 W 3Rd St
Suite 1180W
Los Angeles, CA 90048-6101
Phone (310) 358-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A652450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 20, 2016 through Apr 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- geemee.chung@412963523788804.direct.elationemr.com
- gchung102482@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1497783484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "SUITE 1180W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-358-2300",
"fax_number": "310-358-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST",
"address_2": "SUITE 1180W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486101",
"telephone_number": "310-358-2300",
"fax_number": "310-358-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "GEEMEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A65245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A652450",
"state": "CA"
}
],
"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 Dec 26, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.