Active NPI
Jungrak Hong
- Adolescent Medicine (Internal Medicine) Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- C171474
- Practice address
- 2512 Woodbury Dr
Torrance, CA 90503-7421 - Phone
- (917) 715-6552
- NPI assigned
- Sep 3, 2012
- 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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | C171474 | CA | Primary |
Addresses
Primary practice location
2512 Woodbury Dr
Torrance, CA 90503-7421
Mailing address
1901 1St Ave
New York, NY 10029
Phone (212) 423-6684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210712002199 | CA | Practitioner - Emergency Medicine | 6204138597 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Medical Institute
Practice addresses (Care Compare)
1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171474 | CA | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Providence Medical Institute | Internal Medicine | Current | Accepting new patients |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Providence Medical Institute | Internal Medicine | Current | Accepting new patients |
| Medison Corp | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients |
Locations
2551 W Woodland Dr
Anaheim, CA 92801
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
16630 S Broadway
Gardena, CA 90248
Phone (310) 215-1600
1149 W 190th St
Gardena, CA 90248
Phone (310) 324-5777
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700
1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711
25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070
1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799
1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
621 S Butte St
San Pedro, CA 90732
Phone (310) 548-1422
988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202
21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012
24329 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 868-8100
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200
3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jhong3102985@oc.providencedirect.org
- jhong839851@nychhc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
CA, Internal Medicine
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
CA
-
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
-
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1851868020
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1154670446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-423-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 WOODBURY DR",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905037421",
"telephone_number": "917-715-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "JUNGRAK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-03",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "CA",
"license": "C171474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.