PAUL JUNG (NPI# 1023504669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023504669 |
| Entity Type | Individual |
| Full Name | PAUL JUNG |
| Credential | DDS |
| Practice Address |
11092 Anderson St Rm 3306 Loma Linda CA 92350-1706 |
| Mailing Address |
11027 Boren Ave Loma Linda CA 92354-6517 |
| Practice Telephone | 9095584671 |
| Mailing Telephone | 2068181554 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102730 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144615246 | Paul Jung | Physician Assistant | 4 Jester Rd, Richmond, TX 77406-8544 | 2015-04-06 |
| 1245400944 | Paul Jung | Preventive Medicine | 5600 Fishers Ln, Rockville, MD 20857-6053 | 2008-03-10 |
| 1750427290 | Paul Hae Jung | Dentist | 959 Myrtle Ave, Eureka, CA 95501-1219 | 2007-01-30 |
| Street Address |
11092 ANDERSON ST RM 3306 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573831 | Matthew A Narita I | Dentist | 11585 Poplar St, Loma Linda, CA 92354-3540 | 2020-09-22 |
| 1417568080 | Youstina Alber Mekhael | Dentist | 24898 Sanitarium Dr # 94, Loma Linda, CA 92350-1717 | 2020-08-16 |
| 1063021491 | Nada Maurice Ibrah Hanna | Dentist | 25069 Mound St, Loma Linda, CA 92354-2770 | 2020-07-31 |
| 1033766803 | Ke-chung Wu | Dentist | 11092 Anderson St Ph 3301, Loma Linda, CA 92350-1706 | 2019-08-26 |
| 1114400389 | Jane Cho | Dentist | 11365 Boone Way, Loma Linda, CA 92354-3885 | 2018-09-12 |
| 1376023457 | Breanna Gabrielle Po-ling Chow | Dentist | 11092 Anderson St Prince Hall Room 4400, Loma Linda, CA 92350-0001 | 2018-08-17 |
| 1407352099 | Jee Hye Huh | Dentist | 11092 Anderson St Prince Hall 1452, Loma Linda, CA 92350-4330 | 2018-04-03 |
| 1780108696 | Hussam Aloka | Dentist | 24969 Prospect Ave, Loma Linda, CA 92354 | 2017-08-01 |
| 1841712494 | Kiddee Poomprakobsri | Dentist | 11092 Anderson St Loma Linda University School Of, Loma Linda, CA 92350-0001 | 2017-07-14 |
| 1558819185 | Robert Shaun Perry Jr. | Dentist | 11136 Yardley Pl, Loma Linda, CA 92354-3202 | 2016-09-12 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.