| NPI Details | |
|---|---|
| NPI | 1093730426 |
| Gender | Male |
| Enumeration Date | 07/13/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1565 SELMA DR LOS ANGELES CA, 90046-2411, US |
|
| Phone | (323) 610-9691 |
| Fax | |
| Business Location | |
|---|---|
| 1565 SELMA DR LOS ANGELES CA, 90046-2411, US |
|
| Phone | (323) 654-8096 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207P00000X |
| License State | California |
| License Number | G84105 |
| Remove 1093730426 NPI Number | |
According to our database, Kenneth Danl Jung M.D. NPI is 1093730426, taxonomy code is 207P00000X and license number is G84105, license state is located at California. Kenneth Danl Jung M.D. physically located at 1565 Selma Dr, Los Angeles CA, 90046-2411. NPI Number Kenneth Danl Jung M.D. has the Individual type.
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1093730426 NPI number is provided on an as is basis without warranty of any kind. 1093730426 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Danl Jung M.D. are for informational purposes only.
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