Charles J. Jung, DMD, a Professional Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34128 Issued in CA

Legal business name

CHARLES J. JUNG, DMD, A PROFESSIONAL CORP.

Practice address

1830 W Pico Blvd
Los Angeles, CA 90006-5018

Phone

(213) 380-2646

NPI assigned

Nov 5, 2006

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles J. Jung, D.M.D.NPI 1265515654

Title

Owner

Phone

(213) 380-2646

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles J. Jung, D.M.D.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1265515654
  NPD (past) Authorized official

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1265511679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W PICO BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065018",
            "telephone_number": "213-380-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065018",
            "telephone_number": "213-380-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. JUNG, DMD, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-380-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.