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DASOM CHUN
NPI 1316627714
Nurse Practitioner - Family in Los Angeles, CA

Active since July 20, 2023PECOS Enrolled
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006(213) 322-2666(213) 322-2667 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dasom Chun NPPES

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

DASOM CHUN (NPI 1316627714) is an individual family provider in Los Angeles, California, licensed in California (95025392) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316627714
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDASOM CHUN
Location Address3030 W OLYMPIC BLVD STE 206Los Angeles, CA 90006-6506
Mailing Address3030 W Olympic Blvd Ste 206Los Angeles, CA 90006-6506 · (213) 322-2666 · Fax (213) 322-2667
Phone(213) 322-2666
Fax(213) 322-2667
Sole ProprietorNo
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1316627714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95025392
Also ListedRegistered NurseTaxonomy 163W00000X · License 95231698 (CA)
3030 W OLYMPIC BLVD STE 206, Los Angeles, CA 90006
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dasom Chun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DONGSUN SHIN NP
Nurse Practitioner (Pediatrics)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 322-2666
3C COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (310) 658-4494
JAE EUN KIM FNP
Nurse Practitioner (Family)
3030 W OLYMPIC BLVD STE 206
LOS ANGELES, CA 90006
Los Angeles County (213) 332-2666

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 Dasom Chun's NPI number?

The NPI number for Dasom Chun is 1316627714. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Dasom Chun located?

Dasom Chun practices at 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006. The listed phone number is (213) 322-2666.

What is Dasom Chun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dasom Chun enrolled in Medicare?

Yes. Dasom Chun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dasom Chun was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.