JUNG BAK DDS
NPI 1790958122
Dentist - General Practice in Los Angeles, CA

Active since April 07, 2008PECOS Enrolled
4080 VIA MARISOL APT 341, LOS ANGELES, CA 90042(310) 702-4121 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jung Bak Dds NPPES

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

JUNG BAK DDS (NPI 1790958122) is an individual general practice provider in Los Angeles, California, licensed in California (56835) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790958122
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJUNG BAKCredential: DDS
Location Address4080 VIA MARISOL APT 341Los Angeles, CA 90042-5159
Mailing Address4080 Via Marisol Apt 341Los Angeles, CA 90042-5159
Sole ProprietorNo
Enumeration DateApril 7, 2008
NPI 1790958122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 56835
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4080 VIA MARISOL APT 341, Los Angeles, CA 90042

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jung Bak Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
4080 VIA MARISOL APT 341
LOS ANGELES, CA 90042

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 Jung Bak's NPI number?

The NPI number for Jung Bak is 1790958122. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is Jung Bak located?

Jung Bak practices at 4080 Via Marisol Apt 341, Los Angeles, CA 90042. The listed phone number is (310) 702-4121.

What is Jung Bak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jung Bak enrolled in Medicare?

Yes. Jung Bak is registered in the Medicare PECOS enrollment system.

What insurance does Jung Bak accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jung Bak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jung Bak was last updated on April 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.