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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821032871 | NPPES |
| California | Other | A73312 | MEDICAL LICENSE |
| California | MEDICAID | 00A733120 | MEDICAL LICENSE |
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