Eun Sung Jung, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44193 Issued in CA

Practice address

11832 Rosecrans Ave
Ste. 1409
Norwalk, CA 90650-4107

Phone

(562) 868-6202

Fax

(562) 868-6115

NPI assigned

Dec 18, 2006

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eun-Sung Jung DDS a Professional Corporation

  dba So Ho Dental

  • Dentist
  • Norwalk, CA
  • NPI 1255729299
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285797951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE",
            "address_2": "STE. 1409",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-868-6202",
            "fax_number": "562-868-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 ROSECRANS AVE",
            "address_2": "STE. 1409",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504107",
            "telephone_number": "562-868-6202",
            "fax_number": "562-868-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "EUN",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "D44193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jourabchi Norwalk Dental Corp. (Norwalk Family Orthodontics)
• Journey Medics
• Juana E Valdez (Santa Elena Pharmacy 2)
• Adahly Juarez
• Robert Jun, DPT
• Soon Rye Jung
• Barbara Jean Justice, MD
• Justin Ghiam, D.D.S., Inc.
• JWCH Institute, Inc (Wesley Health Centers - Norwalk Annex)
• JWCH Institute, Inc. (JWCH Norwalk Regional Hth Ctr)

• General Practice Dentistry in Norwalk, CA
• Providers in Norwalk, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.