Dong Min Jung, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

29332 Issued in CA

Practice address

14796 Beach Blvd
La Mirada, CA 90638-4217

Phone

(714) 266-0333

NPI assigned

Feb 8, 2024

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• M Jung and Mary Patuwo Dental Corporation

  dba Smile Up Hygiene and Dental Studio

  • General Practice Dentistry
  • La Mirada, CA
  • NPI 1942966759
  NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1912761040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14796 BEACH BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14796 BEACH BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384217",
            "telephone_number": "714-266-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "DONG MIN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "29332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLS Stars LLC
• Jo-Net, Inc. Dba Purejoy 1
• Ruth Antoinette Johnson, MS
• Joon Woo Sohn, DMD, PC
• JSRK Healthcare LLC
• JW Jacob Chae DMD Inc
• Myrtle MC Intosh Kalugin
• Ji Kang, L.AC.
• Angela Kay Kasprzak, AMFT
• Christopher G Katcherian, MD

• Dental Hygienist in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.