Organization Active NPI

Won Jung Jeong,DDS,Inc.

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1821246513
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49341 Issued in CA
Legal business name
WON JUNG JEONG,DDS,INC.
Practice address
936 S Alvarado St
Los Angeles, CA 90006-3008
Phone
(213) 380-1996
Fax
(213) 382-5737
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Won Jung Jeong
Title
President
Phone
(213) 380-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49341 CA Primary

Addresses

Primary practice location

936 S Alvarado St
Los Angeles, CA 90006-3008

Mailing address

9434 Firestone Blvd
Downey, CA 90241-5504
Phone (562) 803-9999

National Provider Directory

National Provider Directory

Locations

9434 Firestone Blvd
Downey, CA 90241
Phone (562) 803-3333

936 S Alvarado St
Los Angeles, CA 90006
Phone (213) 380-1996

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1821246513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9434 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415504",
            "telephone_number": "562-803-9999",
            "fax_number": "562-803-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063008",
            "telephone_number": "213-380-1996",
            "fax_number": "213-382-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON JUNG JEONG,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "WON JUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-380-1996",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.