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

Stacey Jung

Individual provider Medical Physician Assistant · NPI 1275275067

Stacey Jung is a Physician Assistant in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2023, 3 years ago. Practices with Han Orthopaedics Inc, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of Southern California Keck School of Medicine
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

505 S Virgil Ave Ste 205
Los Angeles, CA 90020-1443
Phone: (213) 805-5822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1275275067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Han Orthopaedics Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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