Inland Ear, Head & Neck Clinic

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G52096 Issued in CA

Legal business name

INLAND EAR, HEAD & NECK CLINIC

Practice address

3975 Jackson St
Ste. 202
Riverside, CA 92503-3901

Phone

(951) 352-7920

Fax

(951) 352-7908

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy T.K. Jung, M.D.,PH.D.NPI 1497717813

Title

Doctor

Phone

(951) 352-7920

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy T K Jung, M.D., PHD

  • Otolaryngology Physician
  • Riverside, CA
  • NPI 1497717813
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1013198456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "STE. 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-352-7920",
            "fax_number": "951-352-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "STE. 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-352-7920",
            "fax_number": "951-352-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EAR, HEAD & NECK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T.K.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-352-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PH.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G52096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Artificial Limb & Brace
• Inland Behavioral Healthcare Center
• Inland Care Service Inc
• Inland Choice Dental Partnership
• Inland Dentistry, Inc
• Inland Empire Acupuncture & Herbs, Inc.
• Inland Empire Autism Assessment Center, a Psychological Corporation
• Inland Empire Behavioral Group Nursing Corporation
• Inland Empire Brain Experts Corp
• Inland Empire Homecare LLC

• Otolaryngology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.