Individual provider Active NPI

Noel Lee Chun, M.D.

  • Anesthesiology Physician
  • Hermosa Beach, CA
National Provider Identifier
1982638839
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A50740 Issued in CA
Practice address
555 Pier Ave
Suite 1
Hermosa Beach, CA 90254-3839
Phone
(310) 374-4100
Fax
(310) 374-4111
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A50740 CA Primary

Addresses

Primary practice location

555 Pier Ave
Suite 1
Hermosa Beach, CA 90254-3839

Mailing address

555 Pier Ave
Suite 1
Hermosa Beach, CA 90254-3839
Phone (310) 374-4100

Other identifiers 2

IdentifierTypeStateIssuer
00A507400OtherCABLUE SHIELD OF CA
00A507400MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50740CAMDAnesthesiology Physician

Interoperability endpoints

  • Direct secure messaging: nchun59280@direct.uclahealth.org

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1982638839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "address_2": "SUITE 1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "310-374-4100",
            "fax_number": "310-374-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PIER AVE",
            "address_2": "SUITE 1",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543839",
            "telephone_number": "310-374-4100",
            "fax_number": "310-374-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "NOEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A50740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A507400",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A507400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.