DR. SOO JUNG IM MD
NPI 1962543397
Internal Medicine - Hematology & Oncology in Los Angeles, CA

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
1300 N VERMONT AVE, SUITE 606, LOS ANGELES, CA 90027(323) 660-6200 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Soo Jung Im Md NPPES

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

DR. SOO JUNG IM MD (NPI 1962543397) is an individual hematology & oncology provider in Los Angeles, California, licensed in California (A107024) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2003).

NPPES Registry Identity

NPI1962543397
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SOO JUNG IMCredential: MD
Location Address1300 N VERMONT AVE, SUITE 606Los Angeles, CA 90027-6098
Mailing Address1300 N Vermont Ave, Suite 606Los Angeles, CA 90027-6098 · (323) 660-6200
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2003
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 6, 2021
NPI 1962543397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · A107024
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1300 N VERMONT AVE, Los Angeles, CA 90027

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

Dr. Soo Jung Im 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 ID1153461371
PECOS Enrollment IDI20091221000109
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 90027 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 20

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

Physician Assistant (Surgical)
1300 N VERMONT AVE, #1006
LOS ANGELES, CA 90027
Pediatrics
1300 N VERMONT AVE, SUITE 901
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Surgery
1300 N VERMONT AVE, #704
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER
LOS ANGELES, CA 90027

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 Soo Im's NPI number?

The NPI number for Soo Im is 1962543397. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Soo Im located?

Soo Im practices at 1300 N Vermont Ave Suite 606, Los Angeles, CA 90027. The listed phone number is (323) 660-6200.

What is Soo Im's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Soo Im enrolled in Medicare?

Yes. Soo Im 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 Soo Im was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.