DR. EUN SUNG JUNG (NPI# 1285797951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285797951 |
| Entity Type | Individual |
| Full Name | DR. EUN SUNG JUNG |
| Credential | D.D.S. |
| Practice Address |
11832 Rosecrans Ave Ste. 1409 Norwalk CA 90650-4107 |
| Practice Telephone | 5628686202 |
| Practice Fax Number | 5628686115 |
| Mailing Telephone | 5628686202 |
| Mailing Fax Number | 5628686115 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
44193 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | D44193 | 01 |
| Street Address |
11832 ROSECRANS AVE STE. 1409 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265473730 | Divyang Natverial Trivedi | Allergy & Immunology | 11832 Rosecrans Ave, Suite 200, Norwalk, CA 90650-4107 | 2006-06-08 |
| 1952710048 | Compre-care Medical, Inc. | Internal Medicine | 11832 Rosecrans Ave, #127, Norwalk, CA 90650-4107 | 2014-08-04 |
| 1679860100 | Soon Rye Jung | Acupuncturist | 11832 Rosecrans Ave, #116, Norwalk, CA 90650-4107 | 2011-07-05 |
| 1902094659 | Hyunsuk Kong | Acupuncturist | 11832 Rosecrans Ave, #257, Norwalk, CA 90650-4107 | 2007-10-09 |
| 1689880593 | Soo Woong Kang Md Inc | Internal Medicine | 11832 Rosecrans Ave, 127, Norwalk, CA 90650-4107 | 2007-05-15 |
| 1174743603 | John S Han | Pain Medicine | 11832 Rosecrans Ave, 2nd Floor, Norwalk, CA 90650-4107 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104387489 | Connecticut Dental Professionals, P.C. | Dentist | 111 East Ave Ste 200, Norwalk, CT 06851-5014 | 2019-03-28 |
| 1720560931 | Melani Fulton | Dentist | 2521 Sunset Dr Ste 2, Norwalk, IA 50211-9721 | 2018-09-04 |
| 1962995449 | Professional Dental Alliance of Norwalk, Pllc | Dentist | 761 Main Ave Ste 11, Norwalk, CT 06851-1080 | 2018-06-11 |
| 1679078026 | Dental One LLC | Dentist | 71 East Ave Ste A, Norwalk, CT 06851-4903 | 2018-03-28 |
| 1235654096 | Eun Soo Lee | Dentist | 11818 Rosecrans Ave Ste B, Norwalk, CA 90650-4125 | 2017-08-13 |
| 1790224731 | Dan Wee Lim | Dentist | 12850 Pioneer Blvd, Norwalk, CA 90650-2876 | 2017-02-22 |
| 1285034264 | Dr. Robert C C Lee Dental Corp | Dentist | 11780 Firestone Blvd, Norwalk, CA 90650-2899 | 2014-08-27 |
| 1962843227 | Aynur Gojayeva | Dentist | 161 East Ave Ste 201, Norwalk, CT 06851-5710 | 2013-07-15 |
| 1831483312 | Sono Dental Group, LLC | Dentist | 9a Washington St, Norwalk, CT 06854-2704 | 2011-06-02 |
| 1285948448 | Mahsa Rostami | Dentist | 761 Main Ave Ste 111, Norwalk, CT 06851-1080 | 2010-07-29 |
| Find all providers in NORWALK | ||||
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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.