Individual
MRS. JENNIFER K JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095-2328
(310) 206-6688
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95012506
CA
Other
Enumeration date
07/17/2020
Last updated
11/16/2021
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