MR. JAE HWAN CHUNG (NPI# 1184053662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184053662 |
| Entity Type | Individual |
| Full Name | MR. JAE HWAN CHUNG |
| Credential | NP |
| Practice Address |
520 S Virgil Ave Ste 507 Los Angeles CA 90020-1452 |
| Mailing Address |
1720 Mission St Apt 5 South Pasadena CA 91030-3329 |
| Practice Telephone | 3108509925 |
| Mailing Telephone | 3108509925 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004056 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290144 | Jae Kul Chung | Dentist | 61325 29 Palms Hwy, Joshua Tree, CA 92252-1912 | 2019-11-18 |
| 1558746057 | Jae Chung | Chiropractor | 424 E 147th St Fl 2, Bronx, NY 10455-4104 | 2015-07-25 |
| 1346306396 | Jae Yon Chung | Dentist | 1570 S Western Ave, #201, Los Angeles, CA 90006-5829 | 2006-12-27 |
| 1629071840 | Jae W Chung | Specialist | 1 Guthrie Dr, Corning, NY 14830-3696 | 2005-05-23 |
| 1265937965 | Jae K Chung | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Internal Medicine, Albany, NY 12208 | 2018-03-26 |
| 1346636636 | Jae Chung | Student in an Organized Health Care Education/Training Program | D-3100 Medical Ctr N, Nashville, TN 37232-2358 | 2015-04-13 |
| 1568662146 | Jae Woo Chung | Dentist | 1395 E Warner Rd, Ste. 105c, Gilbert, AZ 85296-3160 | 2007-07-20 |
| 1720296767 | Jae Bock Chung | Acupuncturist | 780 Regent Street, Suite #301, Madison, WI 53715 | 2007-05-21 |
| 1346390408 | Jae Sung Chung | Family Medicine | 9470 Annapolis Rd, 306, Lanham, MD 20706-3025 | 2007-01-11 |
| Street Address |
520 S VIRGIL AVE STE 507 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700972403 | Min Y Cha | Internal Medicine | 520 S Virgil Ave Ste 507, Los Angeles, CA 90020-1416 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on MR. JAE HWAN CHUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.