Individual provider Active NPI

Chin Seung, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CA
National Provider Identifier
1669439667
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A61109 Issued in CA
Practice address
3700 South St
Lakewood, CA 90712-1419
Phone
(562) 531-2550
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A61109 CA Primary

Addresses

Primary practice location

3700 South St
Lakewood, CA 90712-1419

Mailing address

PO Box 190
Simi Valley, CA 93062-0190
Phone (805) 522-5940

Other identifiers 1

IdentifierTypeStateIssuer
00A611090MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000273 CA Practitioner - Diagnostic Radiology 3779534102 Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61109CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Nov 1, 2024 Accepting new patients
Shin MRI LLC CurrentSince Jan 1, 2019 Accepting new patients
Shin Imaging LLC CurrentSince May 16, 2018 Accepting new patients
Shin Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709

1955 Sunny Crest Dr
Ste 110
Fullerton, CA 92835
Phone (310) 995-6689

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

266 S Harvard Blvd
Ste 180
Los Angeles, CA 90004
Phone (213) 387-3002

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1669439667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620190",
            "telephone_number": "805-522-5940",
            "fax_number": "805-522-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "562-531-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUNG",
        "first_name": "CHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A61109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A611090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.