Chu Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHU CLINIC LLC

Practice address

4713 168TH St SW Ste 105
Lynnwood, WA 98037-6813

Phone

(425) 743-7000

Fax

(425) 743-7373

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Sunghae Chu

Title

Office Manager

Phone

(425) 743-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22978/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Hyunseok Choi, DO

  • Internal Medicine Physician
  • Lynnwood, WA
  • NPI 1396322913
  Medicare reassignment Care Compare group NPD
• Samuel Chu, MD

  • Internal Medicine Physician
  • Lynnwood, WA
  • NPI 1245322700
  Medicare reassignment Care Compare group NPD
• Sala Y Oh, ARNP

  • Family Nurse Practitioner
  • Lynnwood, WA
  • NPI 1235946476
  NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1578043980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 168TH ST SW STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376813",
            "telephone_number": "425-743-7000",
            "fax_number": "425-743-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 168TH ST SW STE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376813",
            "telephone_number": "425-743-7000",
            "fax_number": "425-743-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHU CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "SUNGHAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-743-7000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soon Jong Choi, L.M.P.
• Maria Chong, MD
• Chris Chang, LMFT, PLLC
• Cora Christensen
• Elizabeth Kehaulani Christian, LMP
• Samuel Chu, MD
• Joanne S. Chua, M.D.
• Melina Licong Chua
• Julie C Chuang, RN
• Chung Song Ja Corporation

• Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.