Individual
JASON JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-1098
(805) 982-6323
Mailing address
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043-4316
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208656
VA
Other
Enumeration date
02/17/2023
Last updated
07/09/2024
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