Song Woo Jung, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63185 Issued in CA

Practice address

434 S Euclid St # 100
Anaheim, CA 92802-1247

Phone

(714) 533-0900

NPI assigned

Jan 3, 2014

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

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Jung DDS Inc

  dba Christian Dental Art

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1659158111
  NPD Authorized official
• Union Dental Group Anaheim Inc

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1235621871
  NPD (past)
• Val H Tran Dentistry Corp

  dba Union Dental Group

  • Dentist
  • Anaheim, CA
  • NPI 1346665924
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1659792927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24642 VESTA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914718",
            "telephone_number": "312-533-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S EUCLID ST # 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021247",
            "telephone_number": "714-533-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SONG WOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana H Jung
• Hanna Jung, NP
• Kwangmi Katie Jung, LAC
• Love Jung, L.AC
• Peter Su Jung, DC
• Yongwoo Jung
• Yura Jung
• Jerez Jupillo
• Joseph Alan Jusak Jr.
• Elena Guennadievna Justice, DDS

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jun 3, 2015; 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.