Active NPI
Kenneth Danl Jung, M.D.
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G84105
- Practice address
- 1216 S Citrus Ave
Los Angeles, CA 90019-1602 - Phone
- (323) 610-9691
- Fax
- (323) 772-6725
- NPI assigned
- Jul 13, 2006
- Last updated
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G84105 | CA | Primary |
Addresses
Primary practice location
1216 S Citrus Ave
Los Angeles, CA 90019-1602
Mailing address
1216 S Citrus Ave
Los Angeles, CA 90019-1602
Phone (323) 610-9691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Tufts University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8767 Wilshire Blvd
FL 2
Beverly Hills, CA 90211-2714
Phone (310) 385-3200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10720 | NV | MD | Pharmacist |
| G84105 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Clovis Urgent Care Medical Center | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Past | Accepting new patients | |
| Southern Solano Emergency Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Care | Emergency Medicine | Past | Accepting new patients |
Locations
8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
10100 Culver Blvd
Ste E
Culver City, CA 90232
Phone (310) 423-3333
475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377
8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
725 S Pacific Coast Hwy
Redondo Beach, CA 90277
Phone (424) 296-3100
14550 Soledad Canyon Rd
#100
Santa Clarita, CA 91387
Phone (661) 488-7402
13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
6440 Platt Ave
West Hills, CA 91307
Phone (818) 946-1103
111 S Westlake Blvd
Ste 110
Westlake Village, CA 91362
Phone (805) 557-8177
Interoperability endpoints
- kenneth.jung.1@25843.direct.athenahealth.com
- kjung499717@direct.cshs.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
dba Quantum Healthcare Medical Associates Inc
- Urgent Care Clinic/Center
- Clovis, CA
- NPI 1124241849
-
dba Providence Holy Cross Medical Center
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
-
- Emergency Medicine Physician
- Vallejo, CA
- NPI 1629006655
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1902085863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1093730426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 S CITRUS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191602",
"telephone_number": "323-610-9691",
"fax_number": "323-772-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 S CITRUS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191602",
"telephone_number": "323-610-9691",
"fax_number": "323-772-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "KENNETH",
"middle_name": "DANL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G84105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.