Organization Active NPI

Soon M. Cha MD, Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1780858605
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A39746 Issued in CA
Legal business name
SOON M. CHA MD, INC
Practice address
1058 S Vermont Ave Ste 204
Los Angeles, CA 90006-2731
Phone
(213) 368-6020
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Soon M. Cha, MD
Title
Owner
Phone
(213) 368-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A39746 CA Primary

Addresses

Primary practice location

1058 S Vermont Ave Ste 204
Los Angeles, CA 90006-2731

Mailing address

1058 S Vermont Ave Ste 204
Los Angeles, CA 90006-2731
Phone (213) 368-6020

Other identifiers 1

IdentifierTypeStateIssuer
00A397460MedicaidCA

National Provider Directory

National Provider Directory

Locations

1058 S Vermont Ave
Ste 204
Los Angeles, CA 90006
Phone (213) 368-6020

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1780858605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062731",
            "telephone_number": "213-368-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062731",
            "telephone_number": "213-368-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON M. CHA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-368-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A39746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A397460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.