Kathie Youn Jung, L.AC. PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC9092 Issued in CA

Practice address

5301 Whittier Blvd. Atrium Ste
East Los Angeles, CA 90022

Phone

(323) 887-7458

Fax

(323) 887-8288

NPI assigned

Apr 24, 2007

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Youn Kyung Jung Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1124247572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 WHITTIER BLVD. ATRIUM STE",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-887-7458",
            "fax_number": "323-887-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WHITTIER BLVD. ATRIUM STE",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "90022",
            "telephone_number": "323-887-7458",
            "fax_number": "323-887-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Heliotrope Dr Apt 109",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900043365",
            "country_code": "US",
            "telephone_number": "323-887-7458",
            "fax_number": "323-887-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KATHIE",
        "middle_name": "YOUN",
        "name_prefix": "Dr.",
        "credential": "L.AC. PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUN",
            "last_name": "JUNG",
            "middle_name": "KYUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Phuong Linh Hussain, FNP
• Christina Hope Irons, RN
• Kaiser Foundation Health Plan Inc
• Arsal Kamran, MD
• Tae Gon Kim
• Owen Liao, NP
• Lin-Yun-Hu Dental Corporation (Gabrie Dental Center)

• Acupuncturist in East Los Angeles, CA
• Providers in East Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.