MINA MISOON JUNG NP NPI 1669721700

NPI Information

NPI: 1669721700
Provider Name: MINA MISOON JUNG, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
783 GATUN ST UNIT 239
SAN PEDRO, CA
ZIP 90731
Phone: (213) 284-6143
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Mina Misoon Jung, NP is a psychiatric/mental health nurse practitioner in San Pedro, CA. Mina Misoon Jung, NP NPI is 1669721700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

783 GATUN ST UNIT 239
SAN PEDRO, CA
ZIP 90731-360
Phone: (213) 284-6143

The enumeration date for this NPI number is 9/5/2012 and was last updated on 10/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	627394	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	23192	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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