Koung Y Chen, M.D.

Individual provider Active NPI General Practice Physician · Paramount, CA

NPI 1679575336 · NPPES record last updated Nov 13, 2007

Key facts

NPI
1679575336
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
A31723 (CA)
Practice address
16415 Colorado Ave
Suite 101
Paramount, CA 90723-5035
Phone
(562) 634-6341
Fax
(562) 634-8949
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A31723CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A31723 CA Yes

Addresses

Primary practice location

16415 Colorado Ave
Suite 101
Paramount, CA 90723-5035

Mailing address

16415 Colorado Ave
Suite 101
Paramount, CA 90723-5035
Phone (562) 634-6341

Other identifiers

IdentifierTypeStateIssuer
00A317230MedicaidCA

Other providers in Paramount, CA

All providers in Paramount, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.