Chung W. Kim,M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A034623 Issued in CA

Legal business name

CHUNG W. KIM,M.D.

Practice address

4082 Whittier Blvd
Ste 102
Los Angeles, CA 90023-2558

Phone

(323) 261-2111

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Chung W Kim, M.D.

Title

M.D.

Phone

(323) 261-2111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669694279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4082 WHITTIER BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232558",
            "telephone_number": "323-261-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4082 WHITTIER BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232558",
            "telephone_number": "323-261-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG W. KIM,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHUNG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "323-261-2111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A034623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A346232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yung K Chun, M.D.
• Yuri Chun
• Chun,Du,Liu Dental Corporation
• April Bridgette Chunab
• Chung & Lee Dental Corp
• Aaron Chung
• Alex Chung, MD
• Alice Chung
• Andrew Chung, DO
• Andrew Kwangwon Chung, PA-C

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.