Healthcare Provider Details

I. General information

NPI: 1982088993
Provider Name (Legal Business Name): JIN HUH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 DEL MONTE AVE STE B
MONTEREY CA
93940-2401
US

IV. Provider business mailing address

2020 DEL MONTE AVE STE B
MONTEREY CA
93940-2401
US

V. Phone/Fax

Practice location:
  • Phone: 831-622-6930
  • Fax:
Mailing address:
  • Phone: 831-622-6930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN267343
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95008429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: