Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jungsik Seo

Individual provider Family Nurse Practitioner · NPI 1134518285

Jungsik Seo is a Nurse Practitioner in Los Angeles, California. Qualified in 2014, 12 years ago. Practices with UCLA Radiology Medical Group, a 198-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

845 S Manhattan Pl #305
Los Angeles, CA 90005-3375
Phone: (310) 279-8106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95001214 (CA)

Record details

NPI number1134518285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2015
Last updated in NPPESJanuary 13, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ucla Radiology Medical Group — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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