Christian Jung DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHRISTIAN JUNG DDS INC

Doing business as

Christian Dental Art

Practice address

22978 El Toro Rd
Lake Forest, CA 92630-4961

Phone

(949) 458-1012

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Song Woo Jung, DDSNPI 1659792927

Title

Ceo/Dentist

Phone

(949) 458-1012

Specialties & licenses 1

Addresses

Other names 1

• Christian Dental Art Doing business as

Locations

Practitioners 1

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

• Song Woo Jung, DDS

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1659792927
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1659158111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22978 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-458-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22978 EL TORO RD",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304961",
            "telephone_number": "949-458-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN JUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SONG WOO",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "949-458-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Dental Art",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Yoon-Ah Cho, MPT
• Eun A Cho, PA
• Young Soon Choi
• Stephen Kay Christensen, OD
• Christian Chee Chiropractic Inc
• Terence Chu, M.D.
• Rex G Chuang, D.D.S.
• Yentzu Chuang, ACUPUNCTURIST
• Jacob Thomas Chung, PT, DPT
• Demario Church

• General Practice Dentistry in Lake Forest, CA
• Providers in Lake Forest, 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 Sep 11, 2023; 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.