CONNIE CHUNG MD
NPI 1013569896
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(323) 260-5781 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connie Chung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE CHUNG MD (NPI 1013569896) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013569896
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCONNIE CHUNGCredential: MD
Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414
Mailing Address1818 Michigan Ave Apt 605Los Angeles, CA 90033-2458 · (714) 422-4446
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
Last NPPES UpdateOctober 25, 2024
NPI 1013569896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Connie Chung Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759730617
PECOS Enrollment IDI20231218002352
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Internal Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Registered Nurse (Case Management)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Pain Medicine (Interventional Pain Medicine)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Family Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Physician Assistant
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Dietitian, Registered
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Chung's NPI number?

The NPI number for Connie Chung is 1013569896. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Connie Chung located?

Connie Chung practices at 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033. The listed phone number is (323) 260-5781.

What is Connie Chung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connie Chung enrolled in Medicare?

Yes. Connie Chung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Connie Chung was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.