Individual
JI SUNG JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 UNIVERSITY AVE, RIVERSIDE, CA 92521-3542
(951) 827-9197
(951) 827-7670
Mailing address
900 UNIVERSITY AVE, RIVERSIDE, CA 92521-9800
(951) 827-9197
(951) 827-7670
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A184471
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A184471
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
07/25/2025
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