MEDICARE: JAMES M JUNG

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316139223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES M JUNG

Provider Business Mailing Address
First Line	:	3511 W OLYMPIC BLVD
Second Line	:	101
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3563
Country	:	US
Telephone Number	:	323-766-1057
Fax Number	:	323-766-8790

Provider Business Practice Location Address
First Line	:	3511 W OLYMPIC BLVD
Second Line	:	101
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3563
Country	:	US
Telephone Number	:	323-766-1057
Fax Number	:	323-766-8790

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES M JUNG
Credential	:	M.D.
Telephone Number	:	323-766-1057

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	02/27/2017

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Directions to “JAMES M JUNG ” Practice Location

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