BRYAN TAEKYUNG JUNG
Student in an Organized Health Care Education/Training Program

Address: 3743 S La Brea Ave, Los Angeles, CA 90016-5309

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3743 S LA BREA AVE
City LOS ANGELES
State CA
Zip Code 90016-5309

Providers in the same location

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

Providers in the same zip code

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90016

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Dataset Information

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.