Individual
JUNGWOO JAMES LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4828 CYPRESS ST UNIT 214, MONTCLAIR, CA 91763-1441
(443) 629-8427
Mailing address
4828 CYPRESS ST UNIT 214, MONTCLAIR, CA 91763-1441
(443) 629-8427
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A21260
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2019
Last updated
07/07/2023
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