Active NPI
Rosannara Chhun
- General Practice Physician
- Long Beach, CA
National Provider Identifier
1619460557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 78461
- Practice address
- 1701 Cherry Ave
Long Beach, CA 90813-2519 - Phone
- (562) 822-9610
- NPI assigned
- Jun 13, 2018
- Last updated
- Jun 13, 2018
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 78461 | CA | Primary |
Addresses
Primary practice location
1701 Cherry Ave
Long Beach, CA 90813-2519
Mailing address
1701 Cherry Ave
Long Beach, CA 90813-2519
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78461 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1619460557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CHERRY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CHERRY AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132519",
"telephone_number": "562-822-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHUN",
"first_name": "ROSANNARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "78461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.