Organization Active NPI

Kwok Leung Chung MD Inc

  • Gastroenterology Physician
  • Monterey Park, CA
National Provider Identifier
1710909627
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G49584 Issued in CA
Legal business name
KWOK LEUNG CHUNG MD INC
Practice address
600 N Garfield Ave
#300
Monterey Park, CA 91754-1166
Phone
(626) 307-0828
Fax
(626) 307-0980
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Kwok Leung Chung, M.D.NPI 1760490627
Title
President
Phone
(626) 307-0828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G49584 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
#300
Monterey Park, CA 91754-1166

Mailing address

600 N Garfield Ave
#300
Monterey Park, CA 91754-1166
Phone (626) 307-0828

Other identifiers 2

IdentifierTypeStateIssuer
00G495841MedicaidCA
00G495840MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000215 CA Part B Supplier - Clinic/Group Practice 8628153541 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0948748Kwok-Leung Chung MD Inc600 N Garfield Ave #300, Monterey Park, CA 91754Certificate of waiverJul 16, 2026

National Provider Directory

National Provider Directory

Locations

711 W College St
Ste 510
Los Angeles, CA 90012
Phone (213) 626-8128

600 N Garfield Ave
Ste 300
Monterey Park, CA 91754
Phone (626) 280-1181

600 N Garfield Ave
Ste 30
Monterey Park, CA 91754

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1710909627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "#300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-307-0828",
            "fax_number": "626-307-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "#300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-307-0828",
            "fax_number": "626-307-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWOK LEUNG CHUNG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "KWOK LEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-307-0828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G49584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G495841",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G495840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.