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

Dasom Chun

Individual provider Registered Nurse · NPI 1316627714

Dasom Chun is a Nurse Practitioner in Los Angeles, California. Qualified in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3030 W Olympic Blvd Ste 206
Los Angeles, CA 90006-6506
Phone: (213) 322-2666
Fax: (213) 322-2667
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025392 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95231698 (CA)

Record details

NPI number1316627714
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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