Active NPI
Sung Woo Koh, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- La Mirada, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A164034
- Practice address
- 12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235 - Phone
- (562) 967-2273
- NPI assigned
- Apr 15, 2018
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A164034 | CA | Primary |
Addresses
Primary practice location
12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235
Mailing address
12675 La Mirada Blvd Ste 220
La Mirada, CA 90638-2235
Phone (562) 967-2273
Other practice location 1
16446 Old Forest Rd
Hacienda Heights, CA 91745-3744
Phone (626) 774-6307
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
Hospital & facility affiliations
- Pih Health Hospital-Whittier
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A164034 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Bright Health Physicians of Pih | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sungwookoh@pihh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Obstetrics & Gynecology Physician
- Whittier, CA
- NPI 1134373871
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1619464773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12675 LA MIRADA BLVD STE 220",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382235",
"telephone_number": "562-967-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12675 LA MIRADA BLVD STE 220",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906382235",
"telephone_number": "562-967-2273"
}
],
"practiceLocations": [
{
"address_1": "16446 Old Forest Rd",
"address_purpose": "LOCATION",
"city": "Hacienda Heights",
"state": "CA",
"postal_code": "917453744",
"country_code": "US",
"telephone_number": "626-774-6307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOH",
"first_name": "SUNG WOO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-15",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A164034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.