Organization Active NPI

Jung Acupuncture & Herbal Clinic

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1639736317
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JUNG ACUPUNCTURE & HERBAL CLINIC
Practice address
6104 S Vermont Ave
Los Angeles, CA 90044-3718
Phone
(213) 505-1363
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Inho Jung, L.ACNPI 1942673892
Title
Owner
Phone
(213) 605-1133

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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

6104 S Vermont Ave
Los Angeles, CA 90044-3718

Mailing address

6104 S Vermont Ave
Los Angeles, CA 90044-3718

National Provider Directory

National Provider Directory

Locations

9161 Sierra Ave
Ste 211
Fontana, CA 92335
Phone (909) 428-6882

6104 S Vermont Ave
Los Angeles, CA 90044
Phone (213) 505-1363

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": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1639736317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443718",
            "telephone_number": "213-505-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG ACUPUNCTURE & HERBAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "INHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-605-1133",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.