Monica Jung DPM, Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

MONICA JUNG DPM, INC

Doing business as

Jupiter Foot & Ankle Clinic

Practice address

266 S Harvard Blvd Ste 370
Los Angeles, CA 90004-3987

Phone

(213) 786-1088

Fax

(213) 487-7505

NPI assigned

Oct 12, 2023

Last updated

Nov 8, 2023By 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

Monica Jung, DPMNPI 1225699259

Title

President

Phone

(213) 786-1088

Specialties & licenses 1

Addresses

Other names 1

• JUPITER FOOT & ANKLE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Monica Jung

  • Foot & Ankle Surgery Podiatrist
  • Vallejo, CA
  • NPI 1225699259

  Podiatric

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1659152841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043987",
            "telephone_number": "213-254-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 370",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043987",
            "telephone_number": "213-786-1088",
            "fax_number": "213-487-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA JUNG DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-786-1088",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUPITER FOOT & ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUPITER FOOT & ANKLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Azin Monghate, M.A.
• Nunthicha Mongkolla
• Kanokporn Mongkolrattanothai, MD
• Monica Bruce, D.D.S., Inc (The Smiling Dentist)
• Monica Federoff MD PHD Inc
• Monica Neris Licensed Clinical Social Worker Incorporated (Sunset Therapy)
• Jurnee Monico
• Alexandra Breslin Monin, MSN, AGACNP
• Monique Vuong Rd, LLC
• Desiree Raylene Monje

• Podiatric Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.