Healthcare Provider Details

I. General information

NPI: 1447911284
Provider Name (Legal Business Name): HANNA JUNG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5642 E LA PALMA AVE STE 106
ANAHEIM CA
92807-2112
US

IV. Provider business mailing address

5004 E HOLBROOK ST
ANAHEIM CA
92807-1103
US

V. Phone/Fax

Practice location:
  • Phone: 714-729-3483
  • Fax: 844-458-0279
Mailing address:
  • Phone: 951-476-8581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95019484
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: