DR. SOO MARN CHUNG (M.D.) – Hematology & Oncology Physician, NPI 1245293729
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. SOO MARN CHUNG (M.D.)
12555 Garden Grove Blvd
suite #309
Garden Grove, CA 928431902
Phone: (714) 539-6414
Fax: (714) 539-6933
Type: Location
18000 STUDEBAKER RD STE 800
CERRITOS, CA 907032671
Phone: (562) 735-3226
Type: Mailing
11480 BROOKSHIRE AVE STE 309
DOWNEY, CA 902415025
Phone: (562) 869-1201
Fax: (562) 869-1281
Type: Location
Garden Grove Boulevard, Garden Grove, Orange County, California, 92843, United States
SUITE 309
GARDEN GROVE, CA 928431902
Phone: (714) 539-6414
Fax: (714) 539-6933
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080409000388 | I | Hematology/Oncology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92843)
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