Active NPI
Soyeon Huh
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1861987422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95008412
- Practice address
- 6222 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5193 - Phone
- (323) 525-1999
- Fax
- (323) 525-1991
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95008412 | CA | Primary |
Addresses
Primary practice location
6222 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5193
Mailing address
6222 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5193
Phone (323) 525-1999
Other practice location 1
501 E Hardy St Ste 408
Inglewood, CA 90301-4065
Phone (310) 671-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008412 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjan Chegounchi MD Inc | Single Specialty | 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": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1861987422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 WILSHIRE BLVD STE 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485193",
"telephone_number": "323-525-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 WILSHIRE BLVD STE 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485193",
"telephone_number": "323-525-1999",
"fax_number": "323-525-1991"
}
],
"practiceLocations": [
{
"address_1": "501 E Hardy St Ste 408",
"address_purpose": "LOCATION",
"city": "Inglewood",
"state": "CA",
"postal_code": "903014065",
"country_code": "US",
"telephone_number": "310-671-7888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUH",
"first_name": "SOYEON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95008412",
"primary": true
}
],
"identifiers": [],
"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 Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.