Individual
JIHO JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
(877) 538-2102
Mailing address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
(877) 538-2102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95155868
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95155868
CA
Other
Enumeration date
11/04/2020
Last updated
04/27/2024
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