Mary S Jung Md Inc

LBN: Mary S Jung Md Inc
Mary S Jung Md Inc is an health care organization with primary practice located at 1506 E Chapman Ave , Orange CA 92866-2231. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mary S Jung Md Inc can be contacted via phone (714) 538-8556, or through Jung, Mary Sun via phone (714) 538-8556.

Contact Information

Primary practice address
1506 E Chapman Ave Orange CA 92866-2231
Fax: (714) 538-1082
Website:
Authorized official contact:
Name: Jung, Mary Sun Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1265537765
LBN Legal business name Mary S Jung Md Inc
DBA Doing business as
Authorized official Jung, Mary Sun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 31st, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265537765 NPPES
California Other A73312 MEDICAL LICENSE
California Other 05D1058795 MEDICAL LICENSE
California MEDICAID 00A733120 MEDICAL LICENSE

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