Individual
MRS. JOON W MYUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S BLDG 23, ORANGE, CA 92868-3201
(714) 456-8000
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
607456
CA
363LF0000X
Family Nurse Practitioner
607456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15856
NURSE PRACTITIONER MEDICAL LICENSE
CA
01
—
1912919804
TYPE 2 NPI
CA
01
—
607456
REGISTERED NURSE MEDICAL LICENSE
CA
Enumeration date
07/03/2006
Last updated
01/17/2024
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