MEDICARE: WON JUNG JEONG,DDS,INC.

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	122300000X	Dentist	49341	CA

General Provider Information

NPI Number	:	1821246513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WON JUNG JEONG,DDS,INC.

Provider Business Mailing Address
First Line	:	9434 FIRESTONE BLVD
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-5504
Country	:	US
Telephone Number	:	562-803-9999
Fax Number	:	562-803-6369

Provider Business Practice Location Address
First Line	:	936 S ALVARADO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-3008
Country	:	US
Telephone Number	:	213-380-1996
Fax Number	:	213-382-5737

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WON JUNG JEONG
Credential	:
Telephone Number	:	213-380-1996

Provider Enumeration Date	:	09/05/2008
Last Update Date	:	01/07/2010

Similar Medicare Providers

1013936384 — SHAN-O LEE D.D.S.
Practice Location Address:

936 S ALVARADO ST
LOS ANGELES, CA
90006-3008

Practice Phone: 213-380-1996
Practice Fax:

1396809240 — WONJUNG JEONG 1223G0001X
Practice Location Address:

936 S ALVARADO ST
LOS ANGELES, CA
90006-3008

Practice Phone: 213-380-1996
Practice Fax:

1790918324 — WESTSIDE PHARMACY CORPORATION
Practice Location Address:

11504 SANTA MONICA BLVD
LOS ANGELES, CA
90025-3008

Practice Phone: 310-479-0200
Practice Fax: 310-479-0220

1487953584 — MRS. BROOKE HORN DEKOFSKY M.P.H, R.D., C.D.E
Practice Location Address:

3188 S BENTLEY AVE
LOS ANGELES, CA
90034-3008

Practice Phone: 818-307-1541
Practice Fax:

1336420165 — DR. HONG BEOM MOON DDS, MS, FICD
Practice Location Address:

3700 WILSHIRE BLVD STE 770 , SMILE WORLD ORTHODONTICS
LOS ANGELES, CA
90010-3008

Practice Phone: 213-365-2828
Practice Fax: 213-365-2822

1366807331 — JANET AHADI PHARM.D
Practice Location Address:

11504 SANTA MONICA BLVD
LOS ANGELES, CA
90025-3008

Practice Phone: 310-479-0200
Practice Fax:

Directions to “WON JUNG JEONG,DDS,INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.