MR. KENNETH S. JUNG II (NPI# 1417925462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417925462 |
| Entity Type | Individual |
| Full Name | MR. KENNETH S. JUNG II |
| Credential | M.D. |
| Practice Address |
6801 Park Terrace Drive Los Angeles CA 90045 |
| Practice Telephone | 3106657200 |
| Practice Fax Number | 3106657256 |
| Mailing Telephone | 3106657200 |
| Mailing Fax Number | 3106657256 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2017-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
A90948 | CA | Allopathic & Osteopathic Physicians |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
A90948 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093730426 | Kenneth Danl Jung | Emergency Medicine | 1565 Selma Dr, Los Angeles, CA 90046-2411 | 2006-07-13 |
| 1922464866 | Kenneth Jung | Physical Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2016-01-07 |
| Street Address |
6801 PARK TERRACE DRIVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896407 | Team Makena LLC | Prosthetic/Orthotic Supplier | 6801 Park Terrace Drive, 110, Los Angeles, CA 90045-1544 | 2017-04-28 |
| 1255887493 | Adam Finck | Physical Therapist | 6801 Park Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2016-08-28 |
| 1285039677 | Marie Fajardo | Physical Therapist | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811130743 | Eric Wan Tan | Orthopaedic Surgery | 1520 San Pablo St, Suite 2000, Los Angeles, CA 90033-5310 | 2009-04-07 |
| 1104863661 | Timothy P. Charlton | Orthopaedic Surgery | 1520 San Pablo St, 2000, Los Angeles, CA 90033-5310 | 2006-06-01 |
| 1285610667 | Phillip K. Kwong | Orthopaedic Surgery | 6801 Park Ter, Los Angeles, CA 90045-1543 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562236 | Walk Run Randall | Orthopaedic Surgery | 28829 Pujol St Apt 718, Temecula, CA 92590-6710 | 2020-03-10 |
| 1003469370 | Total Care Podiatry Services, Inc. | Orthopaedic Surgery | 1663 Eucalyptus Ct, Los Banos, CA 93635-6201 | 2019-07-16 |
| 1508333758 | Lc Loggins | Orthopaedic Surgery | 4041 Altamont Ave, Oakland, CA 94605-2603 | 2018-10-25 |
| 1487996864 | Edward Leo Garr | Orthopaedic Surgery | 1811 Sirrine Dr, Santa Ana, CA 92705-1594 | 2013-03-22 |
| 1124368667 | Candice Lillian Brady | Orthopaedic Surgery | 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012-5901 | 2013-02-20 |
| 1477855955 | Desert Orthopedic Center A Medical Group Inc | Orthopaedic Surgery | 45280 Seeley Dr Fl 2 Rm 3lq, La Quinta, CA 92253-6834 | 2010-12-03 |
| 1184710642 | Clifford D Merkel | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlandss, CA 92374 | 2006-10-04 |
| 1265462337 | Osep Armagan | Orthopaedic Surgery | 141 Triunfo Canyon Rd, Suite 101, Westlake Village, CA 91361-2525 | 2006-07-04 |
| 1184650921 | Disorders of The Foot and Ankle A Medical Corporation | Orthopaedic Surgery | 4130 La Jolla Village Dr., Suite 300, La Jolla, CA 92037-1481 | 2006-06-23 |
| 1801899398 | Ronald W Smith | Orthopaedic Surgery | 2840 Long Beach Blvd, #440, Long Beach, CA 90806-1590 | 2005-05-27 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on MR. KENNETH S. JUNG II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.