| Dongjin Sung, M.d. Internal Medicine | |
|
1740 W Gardena Blvd Gardena CA 90247-4764 | |
| (424) 551-3110 | |
| (844) 272-8062 |
| Full Name | Dongjin Sung, M.d. Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740 W Gardena Blvd, Gardena, California |
| Authorized Official Name and Position | Dongjin Sung (M.D. / PRESIDENT) |
| Authorized Official Contact | 7168689146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dongjin Sung, M.d. Internal Medicine 1740 W Gardena Blvd Gardena CA 90247-4764 Ph: (424) 551-3110 | Dongjin Sung, M.d. Internal Medicine 1740 W Gardena Blvd Gardena CA 90247-4764 Ph: (424) 551-3110 |
| NPI Number | 1982161113 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 03/20/2020 |
| Medicare PECOS PAC ID | 1658604574 |
|---|---|
| Medicare Enrollment ID | O20190610000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982161113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dongjin Sung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114231198 PECOS PAC ID: 9032422100 Enrollment ID: I20190425000943 |
| Provider Name | Eunjae Sung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594185 PECOS PAC ID: 5991084162 Enrollment ID: I20191004000313 |
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