Provider Demographics
NPI:1356517718
Name:DR. YONG H JUNG, LTD
Entity type:Organization
Organization Name:DR. YONG H JUNG, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YONG
Authorized Official - Middle Name:H
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-538-8800
Mailing Address - Street 1:348 N NELLIS BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5313
Mailing Address - Country:US
Mailing Address - Phone:702-538-8800
Mailing Address - Fax:702-476-3517
Practice Address - Street 1:348 N NELLIS BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5313
Practice Address - Country:US
Practice Address - Phone:702-538-8800
Practice Address - Fax:702-476-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty