St. Luke Medical Arts Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. LUKE MEDICAL ARTS INC

Practice address

1740 W Gardena Blvd
Gardena, CA 90247-4764

Phone

(424) 551-3110

Fax

(844) 272-8062

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dongjin Sung, M.D.NPI 1114231198

Title

M.D. / President

Phone

(716) 868-9146

Specialties & licenses 1

Addresses

Other names 1

• Dongjin Sung, M.D. Internal Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dongjin Sung, M.D.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1114231198
  Medicare reassignment Care Compare group Authorized official
• Eunjae Sung, CRNP

  • Primary Care Nurse Practitioner
  • Gardena, CA
  • NPI 1235594185
  Medicare reassignment Care Compare group
• Minh Le

  • Occupational Therapist
  • Torrance, CA
  • NPI 1790948552
  NPD (past)
• Karin Spruill I, P.T.

  • Physical Therapist
  • Buena Park, CA
  • NPI 1982974481
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1982161113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764",
            "telephone_number": "424-551-3110",
            "fax_number": "844-272-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W GARDENA BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474764",
            "telephone_number": "424-551-3110",
            "fax_number": "844-272-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE MEDICAL ARTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "DONGJIN",
        "authorized_official_title_or_position": "M.D. / PRESIDENT",
        "authorized_official_telephone_number": "716-868-9146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drsungforyou@gmail.com",
            "affiliation": "N",
            "address_1": "1740 W Gardena Blvd",
            "city": "Gardena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902474764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dongjin Sung, M.D. Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dongjin Sung, M.D. Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amber Staine
• Isaiah Stallings

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.