CHUNGSUK MEDICAL GROUP, INC. (NPI# 1083659908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083659908 |
| Entity Type | Organization |
| Organization Name | CHUNGSUK MEDICAL GROUP, INC. |
| Practice Address |
103 Amethyst Cir Gardena CA 90248-3374 |
| Practice Telephone | 3105388679 |
| Mailing Telephone | 3105388679 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHUNG HEE SUK (PRESIDENT) |
| Authorized Official Telephone | 3105388679 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A53525 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
103 AMETHYST CIR |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114231198 | Dongjin Sung | Internal Medicine | 1740 W Gardena Blvd, Gardena, CA 90247-4764 | 2010-08-02 |
| 1689700817 | Joe C Yoshida | Internal Medicine | 1427 W 186th St, Gardena, CA 90248-3912 | 2007-02-23 |
| 1639216468 | Abraham Golbari | Internal Medicine | 14030 Crenshaw Blvd, Gardena, CA 90249-2715 | 2007-01-31 |
| 1639168099 | Siar Ahmad Basharmal | Internal Medicine | 1251 W Redondo Beach Blvd, Gardena, CA 90247-3456 | 2005-10-18 |
| 1073513925 | Kimberly Jill Eddings-reece | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247-4128 | 2005-07-21 |
| 1982161113 | St. Luke Medical Arts Inc | Internal Medicine | 1740 W Gardena Blvd, Gardena, CA 90247-4764 | 2019-02-25 |
| 1720581382 | Suk Medical Clinic Inc | Internal Medicine | 15435 S Western Ave Ste 201, Gardena, CA 90249-4324 | 2018-03-09 |
| 1396047775 | Abraham Golbari, M.d. A Medical Corportation | Internal Medicine | 14030 Crenshaw Blvd, Gardena, CA 90249-2715 | 2010-11-17 |
| 1912212739 | Owen L. Robinson Md, A Medical Corporation | Internal Medicine | 1141 W Redondo Beach Blvd, Ste 400, Gardena, CA 90247-3586 | 2010-08-17 |
| 1194946376 | Gail Gabourel | Internal Medicine | 742 W Gardena Blvd, Gardena, CA 90247-5024 | 2007-05-02 |
| Find all providers in GARDENA | ||||
Please comment or provide details below to improve the information on CHUNGSUK MEDICAL GROUP, INC..
| 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.