JIMAN JUNG NP NPI 1093082885

NPI Information

NPI: 1093082885
Provider Name: JIMAN JUNG, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
20627 GOLDEN SPRINGS DR STE 2D&E
DIAMOND BAR, CA
ZIP 91789
Phone: (909) 480-0099
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Jiman Jung, NP is a family nurse practitioner in Diamond Bar, CA with 13 years of experience. Jiman Jung, NP NPI is 1093082885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20627 GOLDEN SPRINGS DR STE 2D&E
DIAMOND BAR, CA
ZIP 91789-814
Phone: (909) 480-0099
Fax: (909) 480-0088

The NPI 1093082885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2011 and was last updated on 1/5/2022.

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	363LF0000X	Nurse Practitioner	Family	AP60243614	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	NP95002124	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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