Individual
JAE HWAN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ, SUITE 755, LOS ANGELES, CA 90024-6970
(310) 202-6204
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
A91012
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A91012
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A91012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A910120
—
CA
Enumeration date
09/18/2007
Last updated
08/13/2025
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