Healthcare Provider Details

I. General information

NPI: 1275474660
Provider Name (Legal Business Name): JIJUNG JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 TIVERTON AVE
LOS ANGELES CA
90095-8361
US

IV. Provider business mailing address

800 S WESTERN AVE APT 240
LOS ANGELES CA
90005-5520
US

V. Phone/Fax

Practice location:
  • Phone: 210-379-3659
  • Fax:
Mailing address:
  • Phone: 210-379-3659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: