MEDICARE: DR. JAMES K JUNG D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4130	CA
2	213E00000X	Podiatrist	E4130	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649224999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES K JUNG D.P.M.

Provider Business Mailing Address
First Line	:	1045 ATLANTIC AVE
Second Line	:	SUITE 807
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3408
Country	:	US
Telephone Number	:	562-437-3338
Fax Number	:	562-437-1919

Provider Business Practice Location Address
First Line	:	15366 11TH ST STE A
Second Line	:
City	:	VICTORVILLE
State	:	CA
Zip	:	92395-3726
Country	:	US
Telephone Number	:	760-951-1234
Fax Number	:	760-951-1611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/17/2026

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