BONGSILL CHUNG


Address: 1670 East 120th St, Los Angeles, CA 90059
Phone: 4243382366

BONGSILL CHUNG (NPI# 1093244006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093244006
Entity Type Individual
Full Name BONGSILL CHUNG
Practice Address 1670 East 120th St
Los Angeles
CA 90059
Mailing Address 21209 Bloomfield Ave
Lakewood
CA 90715
Practice Telephone 4243382366
Practice Fax Number 3102230361
Mailing Telephone 5624054787
Enumeration Date 2017-06-05
Last Update Date 2017-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
357813 CA Nursing Service Providers

Office Location

Street Address 1670 EAST 120TH ST
City LOS ANGELES
State CA
Zip Code 90059

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
1831597061 Jiyun Jean Kwon Clinic/Center 1670 East 120th Street, Mlk Oc Pharmacy, Los Angeles, CA 90059 2014-12-22
Find all providers in zip 90059

Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780191353 Raynard Sterling Registered Nurse 2161 Van Wick St, Los Angeles, CA 90047-4644 2018-01-04
1346767076 David A Alvarez Registered Nurse 1200n. State St., Los Angeles, CA 90033 2017-08-24
1942723556 Catherine Rabena Registered Nurse 2010 Zonal Ave # 3p22, Los Angeles, CA 90033-1026 2017-07-25
1467974824 Ena Vilma Hernandez Registered Nurse 245 S Fetterly St, Los Angeles, CA 90022 2017-07-07
1144742545 Starla Evonne Le Fridge-wilson Registered Nurse 2010 Zonal Ave Fl 4, Los Angeles, CA 90033-1026 2017-07-07
1235651639 Ana Maria Lastra Registered Nurse 2010 Zonal Ave # 5wopd, Los Angeles, CA 90033-1026 2017-07-07
1639690803 Michelle Pittman Registered Nurse 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 2017-06-28
1568983773 Debbie Sharon Gillett Registered Nurse 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 2017-06-28
1518487099 Margarita Martires Registered Nurse 2829 S Grand Ave # 116, Los Angeles, CA 90007-3304 2017-06-26
1831619584 Jennifer Castillo Registered Nurse 245 S Fetterly Ave Ofc, Los Angeles, CA 90022-1605 2017-06-23
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

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.

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