Joo Sung Chung

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

CA45444 Issued in CA

Practice address

3250 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2368

Phone

(323) 766-1004

Fax

(323) 731-2875

NPI assigned

Nov 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• J. Chung, D.D.S., Inc.

  • Prosthodontics
  • Los Angeles, CA
  • NPI 1679964456
  NPD Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1821243551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062368",
            "telephone_number": "323-766-1004",
            "fax_number": "323-731-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062368",
            "telephone_number": "323-766-1004",
            "fax_number": "323-731-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JOO SUNG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "CA45444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chung, LCSW
• Ji Ni Chung
• Jong Hee Chung, M.D.
• Jong Hoon Chung, D.D.S.
• Jong Oh Chung
• Joseph S. Chung, DO
• Judy Chung, LCSW
• Jun Chung, MD
• Jun Ho Chung, MD
• Kacie H Chung

• Prosthodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.