Individual
JENNY JEYOUNG MO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W COMMONWEALTH AVE, FULLERTON, CA 92833-2727
(714) 410-3100
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95015642
CA
Other
Enumeration date
09/09/2021
Last updated
02/23/2026
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