Tina Jung DDS Ms

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

TINA JUNG DDS MS

Practice address

10921 Wilshire Blvd Ste 407
Los Angeles, CA 90024-4001

Phone

(213) 335-6366

NPI assigned

Sep 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tina Jung, DDSNPI 1255711842

Title

Owner Dentist

Phone

(213) 335-6366

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tina Jung, D.D.S.

  • Dentist
  • San Francisco, CA
  • NPI 1255711842
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1083493183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244001",
            "telephone_number": "213-335-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA JUNG DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "213-335-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DDS64530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy a. Miller, MD, Inc
• Timothy C Wong, OD, Apc
• Liz Timple
• Helen Tin, OTR/L
• John Kyawmyo Tin, M.D.
• Tina S. Patel, O.D. , Professional Corporation
• Amanda Ting, PH.D.
• Brian Ting, O.D.
• Joyce Ting
• Kang Ting, DMD

• Periodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.