JINHO JUNG
NPI 1174471312
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 20, 2026PECOS Enrolled

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 990-5799 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026 (2 updates tracked since 2026).

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About Jinho Jung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JINHO JUNG (NPI 1174471312) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174471312

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJINHO JUNG

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address4445 Magnolia AveRiverside, CA 92501-4135 · (951) 990-5799

Phone(951) 990-5799

Sole ProprietorYes

Enumeration DateMarch 20, 2026

Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1174471312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4445 MAGNOLIA AVE, Riverside, CA 92501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jinho Jung is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.