Individual provider Active NPI

Kenneth Danl Jung, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1093730426
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G84105 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000868 CA Practitioner - Emergency Medicine 0143272807 Reassigns benefits to 2 organizations
I20070703000066 NV Practitioner - Emergency Medicine 0143272807

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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

ProcedureNumber of procedures
Removal of tissue24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10720NVMDPharmacist
G84105CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 11, 2024 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Jan 29, 2020 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. PastSince Jun 1, 2009 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

  • Direct secure messaging: kenneth.jung.1@25843.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.