Jung, Jae

Jung, Jae is an individual health care provider with primary practice located at 100 Ucla Medical Plz Suite 755, Los Angeles CA 90024-6970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Jung, Jae can be contacted via phone (310) 202-6204.

Contact Information

Primary practice address
100 Ucla Medical Plz Suite 755 Los Angeles CA 90024-6970
Phone: (310) 202-6204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A91012 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A91012 California

Profile Details

NPI number 1184810707
LBN Legal business name Jung, Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Jun 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184810707 NPPES
California MEDICAID 00A910120

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