Jungsik Seo (NPI# 1134518285, PAC ID# 1658626999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134518285 |
| PAC ID by PECOS | 1658626999 |
| Professional Enrollment ID | I20180611000204 |
| Full Name | Jungsik Seo |
| Organization Legal Name | UCLA RADIOLOGY MEDICAL GROUP |
| Address |
100 Medical Plz Suite 100 Los Angeles CA 90095-0001 |
| Phone Number | 3104817545 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921902065 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050262 | RONALD REAGAN U C L A MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 | 3104817545 | UCLA RADIOLOGY MEDICAL GROUP |
| 114 Level, B165, Los Angeles, CA 90095-0001 | 3107941077 | UCLA RADIOLOGY MEDICAL GROUP |
| 200 Medical Plz, B114, Los Angeles, CA 90095-0001 | 3107949513 | UCLA RADIOLOGY MEDICAL GROUP |
| 300 Medical Plz, Los Angeles, CA 90095-0001 | 3103016800 | UCLA RADIOLOGY MEDICAL GROUP |
| 300 Medical Plz, B130, Los Angeles, CA 90095-0001 | 3102676675 | UCLA RADIOLOGY MEDICAL GROUP |
| 1250 16th St, Santa Monica, CA 90404-1249 | UCLA RADIOLOGY MEDICAL GROUP |
| Organization Legal Name | UCLA RADIOLOGY MEDICAL GROUP |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward W Lee | Diagnostic Radiology | Ucla Radiology Medical Group | 300 Ucla Medical Plz, B130, Los Angeles, CA 90095-8346 |
| Antoinette S Gomes | Interventional Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Denise R Aberle | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Nagesh Ragavendra | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| David S Lu | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Steven S Raman | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Jhoanna J Anuran-torres | Nurse Practitioner | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Scott Genshaft | Interventional Radiology | Ucla Radiology Medical Group | 757 Westwood Plaza, Los Angeles, CA 90095-8358 |
| Bree J Blumstein | Nurse Practitioner | Ucla Radiology Medical Group | 1250 16th St, Santa Monica, CA 90404-1249 |
| Samantha Tangchaiburana | Nurse Practitioner | Ucla Radiology Medical Group | 300 Ucla Medical Plz, B130, Los Angeles, CA 90095-8346 |
| Street Address |
100 MEDICAL PLZ SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90095-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peyman Benharash | Cardiac Surgery | The Regents of The University of California | 100 Medical Plz, Suite 630, Los Angeles, CA 90095-6997 |
| Inna Keselman | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Andrew Jeremiah Levine | Psychologist, Clinical | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Victoria Lynn Hines | Nurse Practitioner | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Antoinette S Gomes | Interventional Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Denise R Aberle | Diagnostic Radiology | Ucla Radiology Medical Group | 100 Medical Plz, Suite 100, Los Angeles, CA 90095-0001 |
| Patrick D Farrell | Family Medicine | Forest Physician Services, LLP | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Charles C Flippen II | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| Leif A Havton | Neurology | The Regents of The University of California | 100 Medical Plz, Suite 425, Los Angeles, CA 90095-0001 |
| John Long | Anesthesiology | Metro-west Anesthesia Group Inc | 100 Medical Plz, Lake Saint Louis, MO 63367-1366 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kha K Huynh | Anesthesiology | Uc Regents | 757 Westwood Plaza, Los Angeles, CA 90095 |
| Sangmee Bae | Rheumatology | The Regents of The University of California | 100 Medical Plaza, Los Angeles, CA 90095-0001 |
| Geoffrey Philip Colby | Neurosurgery | The Regents of The University of California | 300 Stein Plz, Suite 420, Los Angeles, CA 90095-0001 |
| Nicole M Wojtal | Emergency Medicine | Regents of The University of Ca Emer Med | 757 Westwood Plaza Rm, Suite 517, Los Angeles, CA 90095-0001 |
| Jennifer A Fulcher | Infectious Disease | The Regents of The University of California | 200 Medical Plaza, Suite 365, Los Angeles, CA 90095-0001 |
| Manuel M Buitrago Blanco | Neurology | The Regents of The University of California | 300 Stein Plaza, Suite 562, Los Angeles, CA 90095-0001 |
| Karen Miotto | Psychiatry | Uc Regents Ucla Neuropsychiatric Behavioral Health | 150 Medical Plz, Los Angeles, CA 90095-0001 |
| Robert Goldberg | Ophthalmology | Jules Stein Institute Medical Group | 100 Stein Plz, Suite 1 188, Los Angeles, CA 90095-0001 |
| Anjay Rastogi | Nephrology | The Regents of The University of California | 100 Medical Plaza, Los Angeles, CA 90095-0001 |
| Irwin K Weiss | Pediatric Medicine | Uc Regents | 200 Medical Plz, 265 Ucla Dept of Ped Grp, Los Angeles, CA 90095-0001 |
| Find all physicians in zip 90095 | |||
| City | LOS ANGELES |
| Zip Code | 90095 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOS ANGELES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jungsik Seo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.