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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184810707 | NPPES |
| California | MEDICAID | 00A910120 |
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