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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31723 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A317230 | Medicaid | CA |
Other providers in Paramount, CA
- Amanda Raye Chamberlin
- Eichin Chang-Lim
- Thuylien Chau
- Viviana Chavoya Cervantes
- Kais Chebbi
- Kristoffer Tolentino Chin
- Kelly Ann Chinarian
- Hana Choe
- Raymond Francis Chua II
- Clinica Medica la Sagrada Familia a Professional Medical Corp
All providers in Paramount, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.