MEDICARE: JUNG H. SUNG PA

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	390200000X	Student in an Organized Health Care Education/Training Program
2	363AS0400X	Surgical Physician Assistant	PA20095	CA

General Provider Information

NPI Number	:	1205865573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNG H. SUNG PA

Provider Business Mailing Address
First Line	:	1968 S COAST HWY UNIT 1452
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	443-794-6680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 S COAST HWY UNIT 1452
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	443-794-6680
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/26/2026

Similar Medicare Providers

1568393601 — MACKENZIE MARIE EGGIE
Practice Location Address:

1968 S COAST HWY # 2862
LAGUNA BEACH, CA
92651-3681

Practice Phone: 562-444-2853
Practice Fax:

1457281842 — ABBY ROSE PATTON
Practice Location Address:

1968 S COAST HWY # 2862
LAGUNA BEACH, CA
92651-3681

Practice Phone: 909-703-1772
Practice Fax:

1982319380 — DR. ANNIE LIU MD
Practice Location Address:

1968 S COAST HWY # 1637
LAGUNA BEACH, CA
92651-3681

Practice Phone: 714-202-7128
Practice Fax: 626-209-8436

1902300999 — SYDNEY NISHIDA
Practice Location Address:

1968 S COAST HWY # 2862
LAGUNA BEACH, CA
92651-3681

Practice Phone: 714-732-9186
Practice Fax:

1922822808 — JANELLE HOUCHIN
Practice Location Address:

1968 S COAST HWY # 2862
LAGUNA BEACH, CA
92651-3681

Practice Phone: 909-703-1772
Practice Fax:

1306955455 — DR. DAVID W. CHO DDS
Practice Location Address:

1968 S COAST HWY # 614
LAGUNA BEACH, CA
92651-3681

Practice Phone: 949-313-4032
Practice Fax:

Directions to “ JUNG H. SUNG PA” 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.