Edward Jung, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

30563 Issued in CA

Practice address

10349 Balboa Blvd Ste 200
Granada Hills, CA 91344-7379

Phone

(818) 363-3100

Fax

(818) 363-5353

NPI assigned

Apr 13, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Bestcare Chiropractic Inc

  • Orthopedic Chiropractor
  • Granada Hills, CA
  • NPI 1346624848
  Authorized official Same address or phone

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1205079795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10349 BALBOA BLVD STE 200",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447379",
            "telephone_number": "818-363-3100",
            "fax_number": "818-363-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10349 BALBOA BLVD STE 200",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447379",
            "telephone_number": "818-363-3100",
            "fax_number": "818-363-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "30563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jordan, BA
• Denee Lynn Jordan, PSYD
• JPM Elite Medical Clinic Inc
• Daniela Isabella Juarez
• Daee Jung
• Jungjae Lim Medical Corporation (Modern Pain Solutions)
• Saif Kabir, M. S. , CCC- A.
• Sofia Michelle Kachani
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Valleys Continuing Care - Hospice)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Valleys Continuing Care - HHA)

• Independent Medical Examiner Chiropractor in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Independent Medical Examiner Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.