BRYAN TAEKYUNG JUNG (NPI# 1649864380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649864380 |
| Entity Type | Individual |
| Full Name | DR. BRYAN TAEKYUNG JUNG |
| Gender | Male |
| Credential | DDS |
| Practice Address | 3743 S La Brea Ave Los Angeles CA 90016-5309 |
| Practice Telephone | 2132011388 |
| Mailing Address | 3743 S La Brea Ave Los Angeles CA 90016-5309 |
| Mailing Telephone | 3233299900 |
| Certification Date | 2021-02-23 |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 3743 S LA BREA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649868688 | Hilary Robman | Counselor · Mental Health | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2021-01-05 |
| 1609401132 | Bryan Minh Do | Student in an Organized Health Care Education/Training Program | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2020-03-05 |
| 1396208567 | Loo Un Lee | Student in an Organized Health Care Education/Training Program | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2019-04-12 |
| 1053843383 | Paul Richard Mollard Browning · Paul Richard Mollard | Registered Nurse | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2017-03-27 |
| 1316397896 | Jennifer Noelle Lettsome | Nurse Practitioner · Adult Health | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2016-06-15 |
| 1386002616 | Hanna Lee | Dentist | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2016-02-01 |
| 1902933872 | Anna Melinda Serrano | Nurse Practitioner | 3743 S La Brea Ave, Los Angeles, CA 90016-5309 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310683 | Apla Health & Wellness | Case Management | 3741 S La Brea Ave, Los Angeles, CA 90016-5309 | 2017-11-17 |
| 1205388246 | Fresenius Medical Care Ventures, LLC · Fresenius Kidney Care Baldwin Hills | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 3705 S Labrea Avenue, Los Angeles, CA 90016-5309 | 2016-10-25 |
| 1609251735 | T.h.e. Clinic, Inc. | Clinic/Center · Federally Qualified Health Center (FQHC) | 3721 S La Brea Ave, Los Angeles, CA 90016-5309 | 2015-07-30 |
| 1639414139 | Apla Health & Wellness · Apla Health & Wellness Center - Baldwin Hills | Clinic/Center · Federally Qualified Health Center (FQHC) | 3743 S. Labrea Ave., Los Angeles, CA 90016-5309 | 2012-12-10 |
| 1104111491 | Kidney Dialysis Center of Baldwin Hills LLC | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 3705 S La Brea Ave, Los Angeles, CA 90016-5309 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942806112 | Juanita Miller | Case Manager/Care Coordinator | 3606 W Exposition Ave, Losangeles, CA 90016 | 2020-12-11 |
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist · Orthodontics and Dentofacial Orthopedics | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1891278016 | Harold Ringgold Jr. | Counselor · Addiction (Substance Use Disorder) | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1609241165 | Carrie Jacoby | Marriage & Family Therapist | 5220 W Washington Blvd, Suite 101, Los Angeles, CA 90016 | 2015-12-09 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-Ziegler | Counselor · Addiction (Substance Use Disorder) | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management · Smith Medical Billing | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. · Washington Manor | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| Find all providers in zip 90016 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306431051 | Grace Lee | 515 Columbia Ave, Los Angeles, CA 90017-1209 | 2021-03-04 | |
| 1225623028 | Trinh Nguyen | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2021-03-03 | |
| 1285229096 | Kimberly Willis | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2021-03-03 | |
| 1588259345 | Amanda Smith | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2021-03-03 | |
| 1972198786 | Kelly Yu Chien Liao | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2021-03-03 | |
| 1912592007 | Jodi Hwang | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2021-03-02 | |
| 1740875822 | Kaela Shea Goldberg | 3031 S Vermont Ave, Los Angeles, CA 90007-3033 | 2021-03-01 | |
| 1124612478 | Betty Situ | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2021-02-26 | |
| 1235723669 | Mark Jeffrey Phillips | 1100 N State St, Clinic Tower, Suite A4d, Los Angeles, CA 90033-5000 | 2021-02-25 | |
| 1013501535 | Arushi Atluri | 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2021-02-24 | |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541216 | Taekyung Cha | Registered Nurse | 1308 N Isadora Way, Ontario, CA 91764-2329 | 2020-06-04 |
| 1487067732 | Taekyung Kim | Pharmacist | 1991 Mountain Blvd, Oakland, CA 94611-2812 | 2014-06-04 |
| 1881959245 | Bryan Jang Sup Jung | Massage Therapist | 5123 N. Royal Dr., Traverse City, MI 49684 | 2012-07-11 |
| 1790735355 | Ellen Hyo Jung Jung Lee | Occupational Therapist · Hand | 19000 Hawthorne Blvd, Suite 230, Torrance, CA 90503-1517 | 2006-05-12 |
| 1770733677 | Yoon Kyung Jung · Eunie Jung | Psychologist | 3635 Manassas Dr # A, Roanoke, VA 24018-4031 | 2008-09-26 |
| 1255829479 | Hyeyoung Jung · Jasmine Jung | Social Worker · Clinical | 3333 S Brea Canyon Rd Ste 107, Diamond Bar, CA 91765-3782 | 2018-04-24 |
| 1013109040 | Dong Kyu Jung · Kyu Jung | Chiropractor | 637 E Golf Rd, Suite 208, Arlington Heights, IL 60005 | 2007-08-14 |
| 1093939357 | Stephano Jung · Chaechung Jung | Acupuncturist | 1010 Fedora St Ste 101, Los Angeles, CA 90006-2586 | 2007-04-11 |
| 1629188438 | Kevin C Jung · Chong Kun Jung | Chiropractor · Sports Physician | 13762 Newport Ave Ste C, Tustin, CA 92780-4699 | 2006-08-30 |
| 1144340225 | Anthony Higuk Jung · Hi Guk Jung | Internal Medicine · Endocrinology, Diabetes & Metabolism | 40-18murray Street, Flushing, NY 11354-4934 | 2007-03-30 |
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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.