Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BONGSU JU
NPI 1689591570
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 01, 2026
500 LANDFAIR AVE, LOS ANGELES, CA 90024(425) 550-8550 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bongsu Ju NPPES

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

BONGSU JU (NPI 1689591570) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1689591570
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBONGSU JU
Location Address500 LANDFAIR AVELos Angeles, CA 90024-2104
Mailing Address500 Landfair AveLos Angeles, CA 90024-2104 · (425) 550-8550
Sole ProprietorYes
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1689591570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

500 LANDFAIR AVE, Los Angeles, CA 90024

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
500 LANDFAIR AVE
LOS ANGELES, CA 90024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bongsu Ju's NPI number?

The NPI number for Bongsu Ju is 1689591570. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Bongsu Ju located?

Bongsu Ju practices at 500 Landfair Ave, Los Angeles, CA 90024. The listed phone number is (425) 550-8550.

What is Bongsu Ju's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bongsu Ju was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.