Individual
JUNG HO O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S ARROYO PKWY STE 100, PASADENA, CA 91105-3973
(626) 632-8112
Mailing address
1020 S ARROYO PKWY STE 100, PASADENA, CA 91105-3973
(626) 632-8112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-NUZESB
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
11/20/2019
Last updated
03/06/2026
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