Jae Kyun Jung, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

60208 Issued in CA

Practice address

2455 Sepulveda Blvd
Suite F
Torrance, CA 90501-4341

Phone

(213) 453-2195

NPI assigned

Mar 27, 2009

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

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

• Jae K. Jung DMD, Inc.

  • Prosthodontics
  • Torrance, CA
  • NPI 1548664931
  NPD (past) Authorized official

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1801038567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 SEPULVEDA BLVD",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014341",
            "telephone_number": "213-453-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SEPULVEDA BLVD",
            "address_2": "SUITE F",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905014341",
            "telephone_number": "213-453-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JAE",
        "middle_name": "KYUN",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juma Bharadia, M.D., Inc.
• Jun Cheong DDS, Incorporation
• Rahma Junaidean
• Ellen Hyo Jung Jung Lee, OTR/L/PAM
• Anna Marie Jung, P.A.
• Ji Young Jung
• Seung Kwon Jung, L. AC
• Tyler S Jung, M.D.
• Youngme Jung, ACUPUNCTURIST
• Junseung Oh D.D.S. and Minseok Kim D.M.D. Inc

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.