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Individual

JUNGYEOL OH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1000 GOODRICH BLVD, COMMERCE, CA 90022-5103
(323) 832-9795
Mailing address
1616 LEYCROSS DR, LA CANADA, CA 91011-3010
(818) 790-7881

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY15310
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
288613
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP18183
CA

Other

Enumeration date
07/17/2008
Last updated
01/30/2012
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