Individual provider Active NPI

Jaeeun Jung, LAC

  • Acupuncturist
  • Rolling Hills Estates, CA
National Provider Identifier
1164615266
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11638 Issued in CA
Practice address
827 Deep Valley Dr Ste 207
Rolling Hills Estates, CA 90274-3654
Phone
(310) 541-7999
Fax
(310) 544-1969
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11638 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr Ste 207
Rolling Hills Estates, CA 90274-3654

Mailing address

827 Deep Valley Dr Ste 207
Rolling Hills Estates, CA 90274-3654
Phone (310) 541-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1164615266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR STE 207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743654",
            "telephone_number": "310-541-7999",
            "fax_number": "310-544-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR STE 207",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743654",
            "telephone_number": "310-541-7999",
            "fax_number": "310-544-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JAEEUN",
        "name_prefix": "Miss",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.