Individual provider Active NPI

Chu-June Wang, D.M.D.

  • Prosthodontics
  • Torrance, CA
National Provider Identifier
1760568828
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
39107 Issued in CA
Practice address
3903 Pacific Coast Hwy
# D
Torrance, CA 90505-5796
Phone
(310) 375-5462
Fax
(310) 375-0142
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39107 CA
Prosthodontics 1223P0700X 39107 CA Primary

Addresses

Primary practice location

3903 Pacific Coast Hwy
# D
Torrance, CA 90505-5796

Mailing address

3903 Pacific Coast Hwy
# D
Torrance, CA 90505-5796
Phone (310) 375-5462

Other identifiers 2

IdentifierTypeStateIssuer
B39107-01MedicaidCA
83816100OtherUNITED CONCORDIA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512002189 CA Order and Referring Only - DentistPractitioner - Dentist 2860781994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39107CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean West Dental Group General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1760568828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 PACIFIC COAST HWY",
            "address_2": "# D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055796",
            "telephone_number": "310-375-5462",
            "fax_number": "310-375-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 PACIFIC COAST HWY",
            "address_2": "# D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055796",
            "telephone_number": "310-375-5462",
            "fax_number": "310-375-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHU-JUNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39107",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "39107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39107-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "83816100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.