Organization Active NPI

Jae K. Jung DMD, Inc.

  • Prosthodontics
  • Torrance, CA
National Provider Identifier
1548664931
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
60208 Issued in CA
Legal business name
JAE K. JUNG DMD, INC.
Doing business as
Harmony Dental
Practice address
2455 Sepulveda Blvd
Suite F
Torrance, CA 90501-4341
Phone
(310) 320-6789
Fax
(310) 320-6790
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Jae Kyun Jung, DMDNPI 1801038567
Title
Ceo
Phone
(213) 453-2195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 60208 CA Primary

Addresses

Primary practice location

2455 Sepulveda Blvd
Suite F
Torrance, CA 90501-4341

Mailing address

2455 Sepulveda Blvd
Suite F
Torrance, CA 90501-4341
Phone (310) 320-6789

Other names 1

  • Harmony Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2455 Sepulveda Blvd
Ste F
Torrance, CA 90501
Phone (213) 453-2195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1548664931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SEPULVEDA BLVD",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014341",
            "telephone_number": "310-320-6789",
            "fax_number": "310-320-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SEPULVEDA BLVD",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014341",
            "telephone_number": "310-320-6789",
            "fax_number": "310-320-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE K. JUNG DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "KYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-453-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "60208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.