Organization Active NPI

Genora Health Inc

Doing business as Dr. Su Chen, MD

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1932857448
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GENORA HEALTH INC
Doing business as
Dr. Su Chen, MD
Practice address
4880 Huntington Dr S
Los Angeles, CA 90032-1945
Phone
(713) 409-7310
NPI assigned
Mar 14, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Su Chen, MDNPI 1720162167
Title
Owner
Phone
(713) 409-7310

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4880 Huntington Dr S
Los Angeles, CA 90032-1945

Mailing address

4880 Huntington Dr S
Los Angeles, CA 90032-1945
Phone (713) 409-7310

Other names 1

  • Dr. Su Chen, MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220304001998 CA Part B Supplier - Clinic/Group Practice 1254725377 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, 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
05D2186352Genora Health Inc4880 Huntington Drive South, Los Angeles, CA 90032Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

3408 N Eastern Ave
Los Angeles, CA 90032
Phone (323) 222-2362

4880 Huntington Dr S
Los Angeles, CA 90032
Phone (323) 826-7388

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1932857448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 HUNTINGTON DR S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321945",
            "telephone_number": "713-409-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 HUNTINGTON DR S",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321945",
            "telephone_number": "713-409-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENORA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-409-7310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Su Chen, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Su Chen, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 22, 2022; 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.