Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changsoo Medical Group

Organization Internal Medicine Physician · NPI 1790496107

Changsoo Medical Group is an Internal Medicine Physician in Buena Park, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5832 Beach Blvd Unit 214
Buena Park, CA 90621-5501
Phone: (714) 523-7575
Fax: (714) 523-7585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1790496107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Yoon — Office Manger · (562) 335-0008
NPI enumeratedDecember 6, 2022
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address5832 Beach Blvd Unit 214, Buena Park, CA 90621-5501

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