Jung, Mary S

Jung, Mary S is an individual health care provider with primary practice located at 1506 E Chapman Ave , Orange CA 92866-2231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Jung, Mary S can be contacted via phone (714) 538-8556.

Contact Information

Primary practice address
1506 E Chapman Ave Orange CA 92866-2231
Phone: (714) 538-8556
Fax: (714) 538-1082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A73312 California

Profile Details

NPI number 1821032871
LBN Legal business name Jung, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 1st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821032871 NPPES
California Other A73312 MEDICAL LICENSE
California MEDICAID 00A733120 MEDICAL LICENSE

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