Individual
BRENNAN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6363 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90048-5727
(747) 221-6354
Mailing address
6363 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90048-5727
(747) 221-6354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
11/03/2016
Last updated
05/01/2023
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