Individual provider · Type 1 NPI
Jaii Chung
Family Nurse Practitioner · Los Angeles, CA
NPI number
1104181130
Active
Practice location
1510 San Pablo St Ste 6200
Los Angeles, CA 90033-5320
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP 22253 (CA) |
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X | 783250 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104181130
Jaii Chung's National Provider Identifier is 1104181130, issued on Jul 5, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2023.