Active NPI
Young Woo Chung
- Pharmacist
- San Diego, CA
National Provider Identifier
1639778343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83058
- Practice address
- 2121 Imperial Ave
San Diego, CA 92102-3826 - Phone
- (619) 849-5834
- NPI assigned
- Oct 23, 2020
- Last updated
- Oct 23, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83058 | CA | Primary |
Addresses
Primary practice location
2121 Imperial Ave
San Diego, CA 92102-3826
Mailing address
10957 Caminito Arcada
San Diego, CA 92131-3668
Phone (858) 926-8329
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 |
|---|---|---|---|
| 83058 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1639778343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10957 CAMINITO ARCADA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313668",
"telephone_number": "858-926-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 IMPERIAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921023826",
"telephone_number": "619-849-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "YOUNG WOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.