Individual
YELA JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 W LA VETA AVE STE 850, ORANGE, CA 92868-4218
(714) 771-7994
(714) 744-4167
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A179217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780145573
—
VA
01
—
CB486657
MEDICARE PTAN
CA
Enumeration date
03/26/2019
Last updated
08/26/2024
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