Jongrak Jung, D.C, L.AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34562 Issued in CA

Practice address

3544 W Olympic Blvd # 101
Los Angeles, CA 90019-3500

Phone

(206) 966-1600

NPI assigned

Mar 24, 2015

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Chirobalance Dr. Jung Chiropractic & Acupuncture Clinic, Inc

  dba Chirobalance & Acupuncture

  • Chiropractor
  • Los Angeles, CA
  • NPI 1326700576
  NPD Authorized official
• Myobalance Suh and Jung Chiropractic, Apc

  dba Myobalance

  • Chiropractor
  • Los Angeles, CA
  • NPI 1689440190
  NPD Authorized official
• Suh and Jung Myobalance, Inc.

  dba Myobalance

  • Chiropractor
  • Los Angeles, CA
  • NPI 1013699834
  NPD Authorized official
• Blue Spring Chiropractic P.S. Inc

  • Clinic/Center
  • Federal Way, WA
  • NPI 1841565645
  NPD (past)
• CWC Group, PS

  • Chiropractor
  • Bellevue, WA
  • NPI 1831659424
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1790179117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W TEMPLE ST APT 524",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124441",
            "telephone_number": "206-966-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD # 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193500",
            "telephone_number": "206-966-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 S 312th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980034915",
            "country_code": "US",
            "telephone_number": "253-839-9330",
            "fax_number": "425-644-7582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4849 Van Nuys Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032121",
            "country_code": "US",
            "telephone_number": "213-913-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JONGRAK",
        "credential": "D.C, L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60540813",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34562",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Jung, MD
• Jennie Jung
• Jennifer Lee Jung, MD
• Ji Hwan Jung, L.AC
• Jin Ho Jung
• Kenneth Danl Jung, M.D.
• Kenneth S. Jung II, M.D.
• Kimberly Merlin Jung, L.C.S.W
• Marisa Kirsten Jung, PT, DPT
• Matthew Wayne Jung, MD

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.