Individual provider Active NPI

Jungrak Hong

  • Adolescent Medicine (Internal Medicine) Physician
  • Torrance, CA
National Provider Identifier
1154670446
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
C171474 Issued in CA
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712002199 CA Practitioner - Emergency MedicinePractitioner - Internal 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 InstituteGroup PAC ID 5991609737, 303 clinicians

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

LicenseStateTypeSpecialty
C171474CAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation Current Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jul 1, 2021 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Medison Corp CurrentSince Jan 12, 2022 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jul 1, 2021 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

  • Direct secure messaging: jhong3102985@oc.providencedirect.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.